The catheter was passed into the papilla, and a flexible wire was threaded past the stone. The catheter was advanced over the wire, and a cholangiogram was performed. The four stones were visualized in the duct.
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The sphincterotome catheter was introduced, and sphincterotomy was performed on the superolateral side of the papilla, up to the junction of papilla with duodenal wall. A balloon catheter was passed, and the duct was cleared of stones with two passes. Completion cholangiogram showed no residual stones.
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