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Endoscopy 2020; 52(S 01): S33
DOI: 10.1055/s-0040-1704105
DOI: 10.1055/s-0040-1704105
ESGE Days 2020 oral presentations
Saturday, April 25, 2020 08:30 – 10:30 Cholangioscopy: Current status Liffey Hall 2
TREATMENT OF LARGE MAIN BILE DUCT STONES IN A PATIENT WITH 4/5 GASTRECTOMY AND ROUX-EN-Y ANASTOMOSIS USING ANTEROGRADE CHOLANGIOSCOPY AND ELECTOHYDRAULIC LITHOTRIPSY AFTER HEPATICOGASTROSTOMY
Further Information
Publication History
Publication Date:
23 April 2020 (online)
Treatment of benign biliary obstruction is a challenging situation in patients with altered anatomy. ERCP with single or double balloon enteroscopy can be difficult, with an overall cannulation success of about 60%. We describe the case of a 86-years old women with history of 4/5 gastrectomy and Roux-en-Y anastomosis and main bile duct symptomatic lithiasis, with failure of two enteroscopies. After performing hepaticogastrostomy, we performed an anterograde electrohydraulic lithotripsy using an ultraslim videogastroscope as a cholangioscope. A guidewire was placed during cholangioscopy to place a transpapillary biliary metallic stent to enable complete biliary stones clearance.