Cholangioscopy in primary sclerosing cholangitis

Post written by Sooraj Tejaswi, MD, MSPH, FASGE, from the Division of Gastroenterology & Hepatology, University of California Davis School of Medicine, Sacramento, California. This is a case series of 5 patients, demonstrating several unique and varied benign features of PSC. We describe a novel phenotypic classification of benign features, whereby we categorize findings into …

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Cholangioscopy in primary sclerosing cholangitis: a case series of dominant strictures and cholangiocarcinoma

Post written by Sooraj Tejaswi, MD, MSPH, FASGE, from the Division of Gastroenterology & Hepatology, University of California Davis School of Medicine, Sacramento, California. This video case series describes and differentiates between the cholangioscopic features of benign dominant strictures and cholangiocarcinoma in PSC. It demonstrates that the morphologic features of cholangiocarcinoma in PSC is varied. …

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EUS-guided hepaticogastrostomy for management of cholangitis, hepatolithiasis, and anastomotic stricture after Roux-en-Y hepaticojejunostomy

Post written by Rishi Pawa, MD, FACG, from the Wake Forest School of Medicine, Winston-Salem, North Carolina. A 43-year-old woman with history of Roux-en-Y hepaticojejunostomy (secondary to Strasberg type E1 common bile duct injury at the time of her cholecystectomy) presented with cholangitis, hepatolithiasis, and hepaticojejunostomy (HJ) anastomotic stricture. She initially underwent an EUS-guided hepaticogastrostomy …

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Uncommon cause of cholangitis due to a migrated pancreatic stone into the common bile duct

Post written by David M. de Jong, BSc, from the Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, the Netherlands. A 62-year-old man was referred to our tertiary hospital for endoscopic therapy of previously diagnosed alcoholic chronic pancreatitis. After initial stent placement, he underwent electrohydraulic lithotripsy (EHL) of 2 pancreatic duct stones …

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Surgical clip removal using short-type single-balloon enteroscope

Post written by Hideaki Koga, MD and Akio Katanuma, MD from the Center for Gastroenterology at Teine-Keijinkai Hospital in Sapporo, Japan. A 76-year-old man who underwent laparoscopic cholecystectomy (LC) and pancreaticoduodenectomy presented with repeated cholangitis. CT showed mild dilation of the bile duct with an enhancing wall, and the surgical clips after LC located near …

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