Is: a systematic critique by using randomized,controlled trials. Gastrointest Endosc ; Jan: . . Elmunzer BJ,Higgins PD,et al. Does rectal indomethacin eliminate the will need for prophylactic pancreatic stent placement in patients undergoing highrisk ERCP. Am J Gastroenterol ; Mar: . . Cotton PB,Lehman G,et al. Endoscopic sphincterotomy complications and their management: an attempt at consensus. Gastrointest Endosc ; MayJun: . Disclosure of Interest: None declaredP BALLOON CATHETER VERSUS BASKET CATHETER FOR ENDOSCOPIC BILE DUCT STONE EXTRACTION: A MULTICENTRE,Prospective RANDOMISED CONTROLLED TRIAL H. Ishiwatari,H. Hisai,K. Yane,M. Onodera,T. Hayashi,K. Eto,S. Haba,T. Okuda,H. Ihara,T. Kukitsu,R. Matsumoto,K. Kawakubo,K. Kitaoka,M. Ono,H. Kawakami,A. Katanuma,T. Sonoda Department of Healthcare Oncology and Hematology,Sapporo Medical University,Sapporo,Japanese Red Cross Date Common Hospital,Date,TeineKeijinkai Hospital,Sapporo,AbashiriKosei General Hospital,Abashiri,Tomakomai City Hospital,Tomakomai,NTT East Japan Sapporo Hospital,Sapporo,Oji General Hospital,Tomakomai,KKR Sapporo Medical Center Tonan Hospital,Sapporo,Rumoi City Hospital,Rumoi,ObihiroKosei Common hospital,Obihiro,Department of Gastroenterology and Hepatology,Hokkaido University Hospital,Sapporo,Otaru Ekisaikai Hospital,Otaru,Department of Public Well being,Sapporo Healthcare University,Sapporo,Japan Contact Email Address: ishihirogmail Introduction: Endoscopic bile duct stone PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/21381057 (BDS) removal applying the basket or balloon catheter is often a wellestablished treatment. Even so,the decision of extraction devices depends on the operators preference mainly because there has been no study comparing outcomes with the two catheters. Aims Solutions: We carried out a noninferiority trial to investigate the overall performance of individual catheter for stone extraction. Patients with a BDS diameter mm and frequent bile duct diameter mm had been enrolled within this study. The participants were randomly assigned to groups that had been treated together with the basket or the balloon catheter at hospitals from October by means of September . Just after stone extraction together with the assigned catheter was completed,balloon occlusion cholangiography was performed in both groups to confirm the clearance with the duct. Principal endpoint was the price of complete clearance of your duct by the assigned catheter. Secondary endpoints had been the price and time of complete clearance in a single endoscopic session. Benefits: We initially enrolled consecutive sufferers,but individuals were excluded right after randomisation. The total quantity of individuals offered for analysis was . The rates of complete clearance by the assigned catheter have been . ( in the balloon group and . in the basket group. The difference in the rates in between the two groups was . ,indicating ML-128 price failure of noninferiority with the basket catheter (noninferiority limit ; p. for noninferiority). However,the outcomes revealed superiority on the balloon over the basket catheter (p.). There had been no considerable differences in secondary endpoints. Conclusion: The balloon catheter is suggested to get a firstline device of endoscopic BDS removal. This study was registered around the UMIN Clinical Trial Registry (UMIN). Disclosure of Interest: None declaredUnited European Gastroenterology Journal (S) P A NOVEL MODIFIED Approach TO SINGLEBALLOON ENTEROSCOPY FOR ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY IN Individuals WITH ALTERED GASTROINTESTINAL ANATOMY H. Tamaki,T. Noda,S. Arasawa,M. Izuta,A. Kubo,C. Ogawa,T. Matsunaka,M. Shibatoge Department o.