Post written by Amy Tyberg, MD, from the Division of Gastroenterology and Hepatology, Weill Cornell Medical College, New York, New York, USA This case describes an elderly patient post-cholecystectomy with a markedly dilated bile duct and significant, persistent stone burden despite standard stone extraction techniques who ultimately achieved bile duct clearance with placement of a …
Continue reading Esophageal stent for treatment of choledocholithiasis
Benjamin Tharian, MD, MRCP, FRACP, from the Centre for Interventional Endoscopy, Florida Hospital, in Orlando, Florida, USA presents this VideoGIE case, "Successful removal of a foreign body from a gallbladder remnant by using a new single-operator digital cholangioscope." A 34-year-old female with a history of an incomplete laparoscopic cholecystectomy developed right upper quadrant pain and …
Continue reading New single-operator digital cholangioscope for foreign body removal
Omair Atiq, MD, and Deepak Agrawal, MD, from the Department of Internal Medicine, Division of Digestive and Liver Diseases, University of Texas Southwestern Medical Center, in Dallas, Texas, USA, share this VideoGIE case, "Suture material in the common bile duct causing recurrent stones." We presented a case of an elderly female with recurrent episodes of …
Continue reading Suture material in the CBD causing recurrent stones
Shugo Fujibayashi, MD, from the Division of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical University in Asahikawa, Hokkaido, Japan shares this video case "Intraductal cholangioscopic visualization of moving Fasciola hepatica." A 75-year-old Japanese male visited a private hospital with abdominal pain and jaundice in October 2013. Because magnetic resonance cholangiopancreatography showed a filling defect …
Continue reading Cholangioscopic visualization of Fasciola hepatica
Shyam Menon, MD, MRCP, MRCP(Gastro), PGDip (Epid), PGDip (Nutr), from the Department of Gastroenterology at the University Hospital Aintree in Liverpool, United Kingdom shares this VideoGIE case "Cholangioscopic evaluation of a sectoral biliary stricture." This video case demonstrates the application of a multidisciplinary approach to the management of a complex biliary stricture. A patient was …
Continue reading Cholangioscopic evaluation of sectoral biliary stricture
Shiva Kumar, MD, MS, FASGE from the Center for Liver Disease & Transplantation, Aurora St. Luke’s Medical Center, Milwaukee, Wisconsin and the Digestive Disease Institute, Cleveland Clinic, Abu Dhabi, Abu Dhabi, UAE discusses this VideoGIE case,"Cholangioscopy-directed endoscopic intervention for post–liver transplantation anastomotic biliary stricture." A 59-year-old man presented with a cholestatic liver profile 20 months …
Continue reading Cholangioscopy intervention for anastomotic biliary stricture
Ryan Law, DO from the Division of Gastroenterology and Hepatology at Mayo Clinic in Rochester, Minnesota, USA presents this video case "Endoscopic removal of a large common bile duct stone: more than one way to skin a cat." This video demonstrates successful removal of a "cat's eye" calculus within the common bile duct using single-balloon …
Continue reading Endoscopic removal of large common bile duct stone
Shyam Menon, MD, MRCP, MRCP(Gastro), PGDip(Epid), PGDip(Nutr Med) and colleagues present this video case from the VideoGIE section, "Immune-mediated cholangiopathy." This video case describes the clinical journey of a patient who presented with weight loss, jaundice, and a biliary stricture at the liver hilum. Cholangioscopy was performed with intent to evaluate this stricture and acquire …
Adam W. Templeton, MD from the University of Washington presents this video case titled "Scanning fiber endoscopy: a novel platform for cholangioscopy" from the VideoGIE section. In this video we demonstrate our initial experience with a novel new cholangioscope. This cholangioscope allows for improved imaging of the bile duct using otherwise standard ERCP technique and …
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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