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ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis Predictors of choledocholithiasis Very strong - CBD stone on transabdominal US - Clinical Ascending cholangitis - Blirubin > 4 mg/dL Strong - Dilated CBD on US ( > 6 mm with galbladder in situ) - Bilirubin level 1.8-4 mg/dL Moderate - Abnormal liver biochemical test other than bilirubin - Age Older than 55 y - Clinical gallstone pancreatitis #ERCP #Management #Algorithm #Choledocholithiasis #Biliary