Gments have been extracted by basket and balloon through PDSC or ERC ultimately. Results: The procedures of PDSC and laser lithotripsy have been succeeded in all patients ( males and girls; mean age . years,variety years). The imply diameter of giant CBD stones was .mm (variety,mm). PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/21046372 The general success price of bile duct clearance by laser lithotripsy and extraction was . The imply intubation time was . minutes (range, minutes). No procedurerelated complications have been observed. patient sex M F M M M F F F M age Stone size (mm) Intubation time (min) No. of times getting into CBD ReferenceUnited European Gastroenterology Journal (S). Ersoz G,Tekesin O,Ozutemiz AO and Gunsar F. Biliary sphincterotomy plus dilation using a significant balloon for bile duct stones that happen to be difficult to extract. Gastrointest. Endosc ; : . Disclosure of Interest: None declaredP COSTEFFECTIVENESS TRIAL OF SELFEXPANDABLE METAL STENTS AND PLASTIC BILIARY STENTS IN MALIGNANT BILIARY OBSTRUCTION A. Fabian,R. Bor,T. Daroczi,K. Farkas,A. Balint,F. Nagy,A. Milassin,M. Rutka,M. Szu cs,T. Molnar,Z. Szepes University of Szeged,1st Division of Medicine,Department of Medical Physics and Informatics,University of Szeged,Szeged,Hungary Speak to E mail AVP Address: szepes.zoltanmed.uszeged.hu Introduction: Selfexpandable metal (SEMS) and plastic stents may be applied within the palliative endoscopic treatment for sufferers with unresectable malignant biliary obstruction. SEMS is substantially high priced,however the stent patency is substantially longer. Existing recommendations advocate the usage of SEMS if the patient’s life expectancy is far more than 4 months. Aims Solutions: The aims of this study have been to examine the therapeutic efficacy and costeffectiveness of SEMS and plastic stents within the treatment of malignant biliary obstruction. individuals with unresectable malignant biliary obstruction were retrospectively enrolled who a SEMS ( patients) or maybe a plastic stent ( individuals). We evaluated the technical and functional success,the complication price,the stent patency along with the cumulative expense of treatment. Benefits: The complication price of SEMS was reduced compared with plastic stents vs.). The stent occlusion was essentially the most frequent complication. The mean time of stent patency were considerably higher within the SEMS group vs. . weeks; p.). In these situations the length vs. . days; p.) and frequency vs. , p.) of hospitalization of individuals in context with stent complications have been substantially lower,however the necessity of reintervention for stent dysfunction was larger ( vs. ; p.). Within the plastic stent group the various stent implantation enhanced the stent patency: the second stent raised it from . to . weeks. Within the three quarter of instances the stent complications had been manageable endoscopically in both groups: reERCP,restent implantation or stent replacement had been performed. There was no distinction inside the total cost of treatment of malignant biliary obstruction among the two groups (p.). In the event the individuals survival time was more than two months,the costeffectiveness of SEMS was far better than plastic stents. Conclusion: Considering the cost of therapy,the burden of sufferers and wellness care system we recommend the SEMS implantation if the life expectancy of patients is more than two months. In quick survival circumstances or in the event the SEMS not obtainable the various plastic stent implantation is advisable. Disclosure of Interest: None declaredConclusion: Snareassisted PDSC by way of traction of the bending part of ultraslim gastroscope and laser lith.