ABSTRACT
In this study, 107 patients with common bile duct stone[s] were selected for endoscopic management. The success rate of cannulation of the common bile duct was 97.1%. Endoscopic sphincterotomy was done in 104 patients, stone[s] extraction after endoscopic sphincterotomy was achieved in 73 patients using different endoscopic approaches, basket extraction in 38 cases, balloon extraction in 35 cases and mechanical manual lithotripsy, which was used successfully in 22 patients. The mechanical manual lithotripsy increased the ability to clear CBD stone[s] from 70.19% to 91.3% at the initial endoscopic session. The early complications of ERCP and its therapeutic applications were bleeding in three cases, pancreatitis in four cases and cholangitis in two cases. Late complications included cholecystitis in four cases and recurrent CBD stones in three cases. The overall success rate for CBD stone[s] clearance was 92.5%, while the overall morbidity after ERCP and its therapeutic applications was 16.3%. There was no recorded mortality