Title: Endoscopic retrograde cholangiopancreatography combined with extracorporeal shock
wave lithotripsy for the removal of large gallbladder stones: a pilot study
Version: 1 Date: 12 Oct 2024
Reviewer:  Panagiotis Tsibouris
Reviewer's report:
Why patients with gallstones with diameter over 1 cm need a gallstone removal Gallstones
were big enough to avoid entering cystic duct? Methods Were patients not opt for surgery
excluded? Did exclusion criteria include any comorbidities?Suspected malignancy should be
futher defined Authors presuppose catheterizasion of the cystic duct and entering gallbladder
in all cases Was it an inclusion criterion? Did ESWL performed during the same session or
another ERCP was performed to clear gallbladder and remove the stent? Was ccholangitis treated
with antibiotics before attempting to perform ERCP or was it performed before inflammation
had subsidised ? What precautions where taken to avoid post-ERCP pancreatitis? Results
When pancrititis happen in 1/6 patients In which ERCP? What happen with the patient who
developed gallstones during follow-up Was he/she on ursodeoxycholic acid treatment initially
Could the stones have passed since there has beed performed a sphincterotomy?  Was there any
corelation between post procedural pancreatitis and syone recurrence?  Pictures taken through
choledochoscope could be provided
Title: Endoscopic retrograde cholangiopancreatography combined with extracorporeal shock
wave lithotripsy for the removal of large gallbladder stones: a pilot study
Version: 1 Date: 12 Oct 2024
Reviewer:  Panagiotis Tsibouris
Reviewer's report:
Why patients with gallstones with diameter over 1 cm need a gallstone removal Gallstones
were big enough to avoid entering cystic duct? Methods Were patients not opt for surgery
excluded? Did exclusion criteria include any comorbidities?Suspected malignancy should be
futher defined Authors presuppose catheterizasion of the cystic duct and entering gallbladder
in all cases Was it an inclusion criterion? Did ESWL performed during the same session or
another ERCP was performed to clear gallbladder and remove the stent? Was ccholangitis treated
with antibiotics before attempting to perform ERCP or was it performed before inflammation
had subsidised ? What precautions where taken to avoid post-ERCP pancreatitis? Results
When pancrititis happen in 1/6 patients In which ERCP? What happen with the patient who
developed gallstones during follow-up Was he/she on ursodeoxycholic acid treatment initially
Could the stones have passed since there has beed performed a sphincterotomy?  Was there any
corelation between post procedural pancreatitis and syone recurrence?  Pictures taken through
choledochoscope could be provided
Please review this paper.
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Title: Endoscopic retrograde cholangiopancreatography combined with extracorporeal shock
wave lithotripsy for the removal of large gallbladder stones: a pilot study
Version: 1 Date: 12 Oct 2024
Reviewer:  Panagiotis Tsibouris
Reviewer's report:
Why patients with gallstones with diameter over 1 cm need a gallstone removal Gallstones
were big enough to avoid entering cystic duct? Methods Were patients not opt for surgery
excluded? Did exclusion criteria include any comorbidities?Suspected malignancy should be
futher defined Authors presuppose catheterizasion of the cystic duct and entering gallbladder
in all cases Was it an inclusion criterion? Did ESWL performed during the same session or
another ERCP was performed to clear gallbladder and remove the stent? Was ccholangitis treated
with antibiotics before attempting to perform ERCP or was it performed before inflammation
had subsidised ? What precautions where taken to avoid post-ERCP pancreatitis? Results
When pancrititis happen in 1/6 patients In which ERCP? What happen with the patient who
developed gallstones during follow-up Was he/she on ursodeoxycholic acid treatment initially
Could the stones have passed since there has beed performed a sphincterotomy?  Was there any
corelation between post procedural pancreatitis and syone recurrence?  Pictures taken through
choledochoscope could be provided
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