Failed Retrograde Cholangiopancreatography (ERCP) Stone Extraction: Surgical Interference
Common Bile Duct Calculi
About this trial
This is an interventional treatment trial for Common Bile Duct Calculi
Eligibility Criteria
Inclusion Criteria: All cases of difficult common bile duct stones leading to variable occlusion. Patients fit for intervention. Patients informed consent for study. Exclusion Criteria: Surgically unfit cases according to ASA Locally advanced irresectable cases. Patients refuse consent to participate in the study.
Sites / Locations
- Assiut universty Hospital
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
One session application of (ERCP) in the management of common bile duct stones.
Two sessions application of (ERCP) in the management of common bile duct stones.
One session application of endoscopic stenting retrograde cholangiopancreatography (ERCP) in the management and clearance of difficult common bile duct stones and assessment of the differences in stone size and the largest CBD diameter before and after stenting in one or two sessions. Stone clearance and complications were also determined with the ERCP, and factors associated with complete clearance were evaluated in patients with difficult CBD stones (a large [≥ 20 mm] or multiple [≥ 3 sized ≥ 15 mm] CBD stones). And also compared the outcomes with conventional procedure of open surgery.
Two sessions application of endoscopic stenting retrograde cholangiopancreatography (ERCP) in the management and clearance of difficult common bile duct stones.and assessment of the differences in stone size and the largest CBD diameter before and after stenting in one or two sessions. Stone clearance and complications were also determined with the ERCP, and factors associated with complete clearance were evaluated in patients with difficult CBD stones (a large [≥ 20 mm] or multiple [≥ 3 sized ≥ 15 mm] CBD stones). And also compared the outcomes with conventional procedure of open surgery.