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Volume 3, Issue 11, Pages 351-353 (November 2018) EUS-guided hepaticojejunostomy with transjejunal per-oral cholangioscopy and electrohydraulic lithotripsy in a patient with complicated choledocholithiasis after Roux- en-Y gastric bypass Johannes Maubach, MD, Maja Gruber, MD, Philipp Nett, MD, Andrew J. Macpherson, MD, PhD, Mathias Worni, MD, MHS VideoGIE Volume 3, Issue 11, Pages 351-353 (November 2018) DOI: 10.1016/j.vgie.2018.07.017 Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 CT scan showing intrahepatic and extrahepatic bile ducts with an obstructing stone in the distal common bile duct (CBD). VideoGIE 2018 3, 351-353DOI: (10.1016/j.vgie.2018.07.017) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 Upper endoscopic view revealing a small gastric pouch after Roux-en-Y gastric bypass. VideoGIE 2018 3, 351-353DOI: (10.1016/j.vgie.2018.07.017) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 3 EUS view confirming dilated intrahepatic bile ducts. VideoGIE 2018 3, 351-353DOI: (10.1016/j.vgie.2018.07.017) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 4 Final endoluminal position of the fully covered metal stent creating a hepaticojejunostomy. VideoGIE 2018 3, 351-353DOI: (10.1016/j.vgie.2018.07.017) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 5 Cholangiographic view 6 weeks after transjejunal cholangioscopy with electrohydraulic lithotripsy, confirming stone-free biliary system. VideoGIE 2018 3, 351-353DOI: (10.1016/j.vgie.2018.07.017) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 6 Cholangioscopic view without any evidence of residual stone fragments. VideoGIE 2018 3, 351-353DOI: (10.1016/j.vgie.2018.07.017) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions