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Presentation transcript:

Volume 2, Issue 6, Pages 152-154 (June 2017) Percutaneous transhepatic cholangioscopy with intraductal electrohydraulic lithotripsy for management of choledocholithiasis in an inaccessible papilla Guru Trikudanathan, MD, Dupinder Singh, MD, Prashant Shrestha, MD, Martin L. Freeman, MD VideoGIE Volume 2, Issue 6, Pages 152-154 (June 2017) DOI: 10.1016/j.vgie.2017.04.003 Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 Contrast-enhanced CT view of abdomen showing soft-tissue mass in the duodenum causing gastric outlet obstruction. VideoGIE 2017 2, 152-154DOI: (10.1016/j.vgie.2017.04.003) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 Cholangiogram showing multiple filling defects consistent with stones, a 14F sheath in the left intrahepatic duct, and 0.035 guidewire coiled in the duodenum. VideoGIE 2017 2, 152-154DOI: (10.1016/j.vgie.2017.04.003) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 3 Fluoroscopic view showing biliary orifice dilation with an 8-mm dilation balloon. VideoGIE 2017 2, 152-154DOI: (10.1016/j.vgie.2017.04.003) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 4 Fluoroscopic view showing advancement of digital cholangioscope into the bile duct. VideoGIE 2017 2, 152-154DOI: (10.1016/j.vgie.2017.04.003) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 5 Digital cholangioscopic image showing intraductal electrohydraulic lithotripsy under direct visualization. VideoGIE 2017 2, 152-154DOI: (10.1016/j.vgie.2017.04.003) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 6 Cholangiogram showing almost complete clearance of stones after intraductal lithotripsy. VideoGIE 2017 2, 152-154DOI: (10.1016/j.vgie.2017.04.003) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions