RT Journal A1 Dawwas MF, Jah A, Griffiths WH, Winterbottom AP, Huguet EL, Gimson AE T1 EMerging trends in endoscopic retrograde cholangiopancreatography and common bile duct exploration—reply JF Archives of Surgery JO Archives of Surgery YR 2011 FD November 1 VO 146 IS 11 SP 1336 OP 1337 DO 10.1001/archsurg.2011.304 UL http://dx.doi.org/10.1001/archsurg.2011.304 AB First, our patient was an 89-year-old man with significant comorbidities, including ischemic heart disease, diabetes mellitus, and a 9-cm abdominal aortic aneurysm, for whom the risks of biliary surgery were considerable and further accentuated by the possibility of postoperative aneurysm rupture.1