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Large CBD Stone Removal

#BD_ENDOSCOPY 80year's old gentleman presented with history of choledocholithiasis. We performed his ercp and found a large stone at CHD. The stone extracted out by billiary balloon sweeping and dormia basket. Procedure performed by......... Prof. Brig. Gen. Sk Md. Bahar Hussain (Retd.) MBBS,FCPS(Medicine),FRCP(Edin,Glasg),FACP(USA). Senior. Consultant & Interventional Gastroenterologist Department Of Gastroenterology. SQUARE Hospitals Ltd. Dhaka Bangladesh. For more videos please visit my You Tube channel BD ENDOSCOPY    / @bdendoscopy3663   Procedure: E. R. C. P with Stone Extraction Indication Choledocholithiasis Medication: Under sedation FINDINGS: PAPILLA: Looks normal. Bile flow seen. PANCREATOGRAM: Not attempted. CHOLANGIOGRAM: The terminal CBD is narrowed. Rest of the CBD, CHD and the intrahepatic ducts are grossly dilated. A large oval shape filling defect consistent with stone is seen in the CHD. Papillotomy is done with conventional papillotome followed by balloon sphincteroplasty. The stone is extracted out by billiary balloon sweeping and left in the duodenum. The stone is grasped with dormia basket and extracted out from duodenum and handed over to patient attendant. COMMENTS: Choledocholithiasis (Please see the description also). THERAPEUTIC INTERVENTION: ERCP with large balloon sphincteroplasty and stone extraction done.