Cost-effectiveness analysis of optimal diagnostic strategy for patients with symptomatic cholelithiasis with intermediate probability for choledocholithiasis

Post written by Faisal S. Ali, MD, from the Center for Interventional Gastroenterology at UTHealth (iGUT), University of Texas Health Science Center at Houston, Houston, Texas, USA. Our study aimed to provide further guidance on evaluating intermediate probability choledocholithiasis (IPC) in patients with cholelithiasis. The updated American Society for Gastrointestinal Endoscopy (ASGE) guideline recommends endoscopic …

Continue reading Cost-effectiveness analysis of optimal diagnostic strategy for patients with symptomatic cholelithiasis with intermediate probability for choledocholithiasis

EUS-guided rendezvous with a steerable access needle in choledocholithiasis

Post written by Sundeep Lakhtakia, MD, DM, from the Asian Institute of Gastroenterology, AIG Hosiptals, Telangana, India. A patient with past cholecystectomy presented with symptomatic CBD stones. He had unsuccessful ERCPs due to duodenal deformity and non-visualized papilla located within a large duodenal diverticulum. This video case has 2 interesting segments. In first part, EUS …

Continue reading EUS-guided rendezvous with a steerable access needle in choledocholithiasis

Esophageal stent for treatment of choledocholithiasis

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