Evaluating Endoscopic Retrograde Cholangiopancreatography (ERCP) Outcomes in the Management of Common Bile Duct Stones With a Focus on Difficult Stones: A Retrospective Single-Center Study on Bile Duct Navigation From Kashmir, North India

In conclusion, our findings underscore the value of ERCP in managing CBDS, particularly challenging ones, with high efficacy and an acceptable safety profile. This supports its continued use as a primary treatment option for complex CBDS. While complications related to ERCP do occur, they are primarily associated with sphincterotomy/precut procedures for gaining access to the CBD. Notably, managing difficult stones does not appear to increase the complication rate, further strengthening ERCP's role in the treatment of complex biliary cases.