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Volume 2, Issue 2, Pages 21-22 (February 2017) Resolution of ampullary stone impaction with duodenoscopy-guided direct frequency- doubled double-pulse Nd:YAG laser lithotripsy after the failure of rescue lithotripsy Xiao Bo Cai, MD, PhD, Yue Qing Qian, MD, Wei Gao, MD, Ling Ling Zhang, MD, Xin Jian Wan, MD, PhD VideoGIE Volume 2, Issue 2, Pages 21-22 (February 2017) DOI: 10.1016/j.vgie.2016.12.009 Copyright © 2017 The Authors Terms and Conditions

Figure 1 A, Cholangiographic view showing multiple large stones in the CBD. B, The stone was drawn into the basket but could not be extracted. C, Application of Soehendra rescue lithotriptor to crush the stone. D, After failed lithotripsy, impaction of stone in the CBD, as seen from the opened papilla. E, Direct laser lithotripsy under duodenoscopy. F, After laser lithotripsy, the stone was fractured. G, Successful extraction of stone by a balloon. CBD, common bile duct. VideoGIE 2017 2, 21-22DOI: (10.1016/j.vgie.2016.12.009) Copyright © 2017 The Authors Terms and Conditions