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CBD Stone Extraction

#BD_ENDOSCOPY Professor Dr. Hasan Masud MBBS, MD (Gastroenterology) Senior. Consultant & Interventional Gastroenterologist Department Of Gastroenterology. For more videos please visit my You Tube channel BD ENDOSCOPY    / @bdendoscopy3663   Procedure: E. R. C. P. with Stone Extraction Indication: Choledocholithiasis with cholangitis FINDINGS PAPILLA: Looks normal Bile flow seen PANCREATOGRAM: Not attempted CHOLANGIOGRAM: The CBD, CHD and the intrahepatic ducts are dilated Multiple large filling defects consistence with stones are seen at the distal CBD Papillotomy is done by conventional papiliotome followed by large Balloon sphincteroplasty Purulent bile was coming out through the ampulla All the stones are extracted out by billiary balloon sweeping Occlusion cholangiogram confirms complete clearance of stones from bile duct. COMMENTS: Choledocholithiasis (Please see the description also) THERAPEUTIC INTERVENTION: ERCP with papillotomy, large balloon sphincteroplasty and stone extraction done.