Papillary dilation vs sphincterotomy in endoscopic removal of bile duct stones a randomized trial with manometric function

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Abstract
To circumvent the long-term effects of papillary ablation for extracting common bile duct stones (PP=NS), although papillary function was found to have decreased after the EPD. In contrast, all patients in the EST group lost papillary function after the procedure. Thirty-day morbidity and mortality rate were absent in both groups. Immediate and 2.5-year follow up complications were uncommon in both groups. As a simple method, EPD may be an effective and safe alternative to EST in the management of patients with bile duct stones who require maintenance of papillary function.

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