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Role of Endoscopic Biliary Stenting in the Management of Difficult Common Bile Duct Stones

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Observational analysis reduced stone size in 33 adults with CBD stones, indicating plastic stenting can help manage difficult cases.

Mean stone diameter significantly reduced from 19.1 mm to 15.8 mm after treatment, showing effective management of CBD stones.
In 33 patients, stone count dropped from 1.80 to 1.45, with 69.7% achieving complete stone clearance after a second ERCP.
This prospective observational study used plastic stenting over three months at a Bangladeshi hospital to manage CBD stones.
Stent-related cholangitis occurred in 6% of patients; further multicenter trials are needed in low-resource settings.

Das et al. (2025) studied this question.

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