to investigate the role and potential benefits or drawbacks of ERCP with sphincterotomy in patients declining subsequent cholecystectomy for gallstone-induced pancreatitis.

Inclusion Criteria:

• Diagnosis of gallstone-related pancreatitis (classified as mild pancreatitis according to the 2012 revised Atlanta classification and definitions).

• Imaging studies reveal the presence of gallstones or sludge, along with at least one of the following conditions: i. Imaging evidence of common bile duct dilation (common bile duct diameter > 8 mm for patients aged ≤ 75 years; > 10 mm for patients aged > 75 years).

ii. Biochemical evidence of cholestasis with total bilirubin levels between 1.8 - 4 mg/dL.

iii. Alanine aminotransferase (ALT) levels greater than twice the upper limit of normal.

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