Endoscopic treatment of bile duct stones with benign choledochojejunal anastomotic stenosis

Post written by Akihiko Kida, MD, PhD, from the Department of Gastroenterology, Public Central Hospital of Matto Ishikawa, Hakusan, Japan, and the Department of Gastroenterology, Kanazawa University Hospital, Kanazawa, Japan. The number of patients with biliopancreatic malignancies with long-term survival after surgery has increased with advances in chemotherapy, and there have been many opportunities to treat benign …

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A new-age “rescue” lithotripsy

Suryaprakash Bhandari, MD, from the Baldota Institute of Digestive Sciences, Global Hospitals, in Mumbai, India, shares this VideoGIE case "Single-operator cholangioscopy-guided holmium laser lithotripsy: the new-age 'rescue' lithotripsy." A 40-year-old woman with a large bile duct (BD) stone was referred for ERCP. Cholangiography revealed a dilated BD with a single large stone within the relative narrowing of the …

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Rescue of basket-impacted stone

Takayoshi Tsuchiya, MD, PhD from the Tokyo Medical University Hospital in Tokyo, Japan presents this video case "Rescue of basket-impacted stone by use of electrohydraulic lithotripsy under cholangioscopy (with videos)" from the VideoGIE section. Basket impaction of a bile duct stone is a well-known problem occurring during endoscopic transpapillary lithotripsy. Generally, it is resolved by …

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