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Efficacy of digital cholangioscopy-guided laser lithotripsy versus mechanical lithotripsy in patients with very large common bile duct stone(s) who failed papillary large balloon dilation: a randomized controlled study

Efficacy of digital cholangioscopy-guided laser lithotripsy versus mechanical lithotripsy in patients with very large common bile duct stone(s) who failed papillary large balloon dilation: a randomized controlled study

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
TCTR
Registry ID
TCTR20171121001
Enrollment
32
Registered
2017-11-21
Start date
2016-09-01
Completion date
Unknown
Last updated
2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Large common bile duct stone Endoscopic retrograde cholangiopancreatography (ERCP) Lithotripsy Laser lithotripsy Difficult common bile duct stone Large common bile duct stone Choledocholithiasis SpyGlass

Interventions

ERCP with single operator digital cholangioscopy&#45
guided laser lithotripsy used for common bile duct stone fragmentation,ERCP with mechanical lithotripsy by basket lithotriptor used for common bile duct stone fragmentation
Experimental Procedure/Surgery,Active Comparator Procedure/Surgery
Cholangioscopy&#45
guided laser lithotripsy,Mechanical lithotripsy

Sponsors

No
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 90 Years

Inclusion criteria

Inclusion criteria: Patients with large common bile duct stone who failed stone removal after conventional ERCP with papillary large balloon dilation

Exclusion criteria

Exclusion criteria: - Uncorrected coagulopathy - Unstable vital signs - Unstopped anticoagulation - Surgically altered anatomy - Malignant biliary stricture

Design outcomes

Primary

MeasureTime frame
Success rate of common bile duct stone clearance in single ERCP session End of endoscopic retrograde cholangiopancreatography session Percent—

Secondary

MeasureTime frame
Post ERCP complications End of ERCP session Percents,Radiation exposure End of ERCP session Dose area product,Duration of ERCP procedure End of ERCP session Hours & minutes—

Countries

Thailand

Contacts

Public ContactSanti Kulpatcharapong

Division of gastroenterology, Faculty of medicine, King chulalongkorn memorial hospital

kul.santi@gmail.com66817521252

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 9, 2026