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Endoscopic retrograde cholangiopancreatography (ERCP) is a first-line therapy for common bile duct stones; however, post-ERCP pancreatitis is one of the procedure-related complication. This 63-year-old man presented with abdominal pain and jaundice, and was diagnosed as common bile duct stone with common bile duct dilatation. Subsequently, the patient was admitted for receiving ERCP with stone retrieval. After ERCP, Lactate Ringers hydration as a standard prescription reduced the risk of post-ERCP pancreatitis. However, the dosage of Lactated Ringers hydration for preventing post-ERCP remained controversial. Therefore, it is needed to perform evidence-based appraisal to investigate the adequate dosage of Lactated Ringers hydration after ERCP. The results showed that aggressive Lactated Ringers hydration as 3 c.c/kg/h could prevent post-ERCP pancreatitis. We applied aggressive Lac...