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Abstract Removal of common bile duct stones is one of the leading indications for ERCP. The management of common bile duct stones involve cannulation of the common bile duct and retrieval of the stone/s after enlarging the papillary opening, either by cutting the biliary sphincter with endoscopic biliary sphincterotomy (EBS) or by endoscopic papillary balloon dilatation (EPBD). The aim of this work was to compare the therapeutic benefits and complications between endoscopic sphincterotomy (EST) followed by large balloon dilatation(LBD) and endoscopic sphincterotomy (EST) followed bymechanical lithotripsy (ML) .The present study included 98 hepatic patients with obstructive jaundice due to common bile duct stones Patients chosen for our study were divided into two groups according to the order of the procedure. |