OBJECTIVE: To explore the effectiveness and safety of endoscopic @entity384 (EPBD) for the removal of common bile duct stones. METHODS: Three hundred and twenty consecutive @entity1 with common bile duct stones on endoscopic retrograde cholangiopancreatography (ERCP) who met all eligibility criteria were randomly assigned endoscopic sphincterotomy (EST) or EPBD. Complications were classified by an expert panel unaware of treatment allocation and outcome. RESULTS: After a single ERCP, all stones were removed from 112 @entity1 (70%) assigned EST and 104 (65%) assigned EPBD. Mechanical lithotripsy was used to fragment stones in 36 (22.5%) EPBD procedures and 32 (20.0%) EST procedures. Early complications occurred in 5.6% EST @entity1 and 8.1%EPBD @entity1 . No @entity1 died. @entity5990 recurrence, which is a long-term complication, is 7.5% (12/160) in EST @entity1 and 2.5% (4/160) in EPBD @entity1 , P < 0.05. CONCLUSIONS: The success rate of EPBD was similar to that of EST. We found no evidence of previously suggested higher risk of @entity788 with EPBD, and suggest that EPBD is preferred in @entity1 who are not suitable for EST, such as those with high risk of @entity548 . This procedure is a valuable alternative to EST in @entity1 with bile duct stones.

[A comparison of endoscopic XXXX and endoscopic sphincterotomy for the removal of common bile duct stones].

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity788 :: ('MESH:D010190', 'Disease') :: ['pancreatitis'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity384 :: ('MESH:D002311', 'Disease') :: ['papillary balloon dilation'] @entity5990 :: ('MESH:D042882', 'Disease') :: ['Gallstone disease']
@entity384 :: (MESH:D002311,Disease) :: ['papillary balloon dilation']
