PT  - JOURNAL ARTICLE
AU  - Wilson, P
AU  - Webster, GJM
TI  - Endoscopic management of biliary stone disease
AID  - 10.1136/flgastro-2016-100786
DP  - 2017 Apr 01
TA  - Frontline Gastroenterology
PG  - 129--132
VI  - 8
IP  - 2
4099  - http://fg.bmj.com/content/8/2/129.short
4100  - http://fg.bmj.com/content/8/2/129.full
SO  - Frontline Gastroenterol2017 Apr 01; 8
AB  - The management of bile duct stone disease is the most common indication for endoscopic retrograde cholangio-pancreatography (ERCP). The majority of cases may be resolved using standard approaches including endoscopic sphincterotomy and balloon stone extraction. Recent advances in the management of large or challenging stones has come from the clear evidence for the role of endoscopic papillary large balloon dilatation (EPLBD)/sphincteroplasty and the development of cholangioscopically directed lithotripsy. Perhaps the greatest improvement in endoscopic stone management will be achieved through the implementation of plans for more formalised training, reflection and audit of ERCP performance indicators and network-wide coordination of ERCP services.