Endoscopic Sphincterotomy With Balloon Dilatation Versus Sphincterotomy Alone For Common Bile Duct Stones Removal

Gallstone is a worldwide clinical problem which affecting most of the populations with incidence of 15 to 20% in west and 10% in Asians. About 5 to 15% of patient with gallstone will go on to develop bile duct calculi. There are several endoscopic strategies developed for treatment of common bile duct stone such as endoscopic sphincterotomy (EST), endoscopic papillary large balloon dilatation (EPLBD) and combination of EST plus EPLBD. Our aim of this study is to compare efficacy, and safety of EST alone group versus EST plus EPLBD group in removing CBD stone.

Inclusion Criteria:Patient's age 18 and abovePatient with CBD stone documented on imaging studiesExclusion Criteria:CBD stone size more than 15mmCBD stone number more than 3Concurrent hepatobiliary tumourIntrahepatic stoneBleeding tendencies: coagulopathy, thrombocytopenia, patient on anticoagulant medicationPatient in sepsis/ Cholangitis patientPatient with acute pancreatitisPrior history of Bilroth II or Roux-en-y surgery