Nonsurgical rescue after basket-stone impaction by endoscopic cutting of a metallic lithotripter and laser lithotripsy

Post written by Toshiaki Terauchi, MD, from the Department of Surgery, Saiseikai Utsunomiya Hospital, Utsunomiya, Japan. This report presents a 64-year-old male who underwent successful rescue using a nonsurgical endoscopic approach to remove an impacted mechanical lithotripter basket, due to a 17-mm common bile duct stone. The basket impaction occurred at an outside hospital, and …

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Electrohydraulic lithotripsy under the mother-baby cholangioscope system using a colonoscope for large common bile duct stones in a patient with Roux-en-Y reconstruction

Post written by Ryuichi Tezuka, MD, from the Department of Gastroenterology, Gifu Municipal Hospital, Gifu, Japan. We presented electrohydraulic lithotripsy (EHL) under the mother-baby cholangioscope system using a colonoscope for large common bile duct stones in a patient with Roux-en-Y reconstruction. A man with a history of Roux-en-Y reconstruction for gastric ulcer and radiofrequency ablation …

Continue reading Electrohydraulic lithotripsy under the mother-baby cholangioscope system using a colonoscope for large common bile duct stones in a patient with Roux-en-Y reconstruction

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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