scholarly journals When the Going Gets Tough: Utilization of SpyGlass, or Drainage Followed by Stone Removal

2020 ◽  
Vol 25 (1) ◽  
pp. 24-28
Author(s):  
Chi Hyuk Oh

At least 90% of stones are extracted after conventional endoscopic retrograde cholangiopancreatography. However, some cases are still difficult to manage completely. We describe some methods of removing difficult common bile duct stones through a single-operator cholangioscopy using SpyGlass system, direct peroral cholangioscopy, and temporary biliary stenting.

2017 ◽  
Vol 99 (7) ◽  
pp. e213-e215
Author(s):  
S Anwer ◽  
R Egan ◽  
N Cross ◽  
S Guru Naidu ◽  
K Somasekar

Common bile duct stones in patients with a previous gastrectomy can be a technical challenge because of the altered anatomy. This paper presents the successful management of two such patients using non-traditional techniques as conventional endoscopic retrograde cholangiopancreatography was not possible.


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