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Volume 2, Issue 6, Pages 145-146 (June 2017) Percutaneous antegrade digital cholangioscopy in the management of biliary disorders Joshua R. Peck, MD, James Spain, MD, Jamal Al Taani, MD, Sean T. McCarthy, MD VideoGIE Volume 2, Issue 6, Pages 145-146 (June 2017) DOI: 10.1016/j.vgie.2017.03.001 Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 A, Cholangiogram demonstrating a filling defect (arrow). B, Cholangioscopic view demonstrating a large stone at the confluence, partially occluding the lumen. C, Cholangioscopic view demonstrating a balloon sweeping stone fragments antegrade through the hepatic duct. D, Cholangioscopic view at the level of the confluence demonstrating ulcerated and erythematous tissue with superficial dilated and tortuous blood vessels, consistent with malignancy. E, Cholangioscopic view at the level of the confluence demonstrating severe stricture of the common hepatic duct, and abnormal mucosa with dilated and tortuous blood vessels, consistent with malignancy. F, Cholangioscopic view at the level of the confluence demonstrating prominent dilated and tortuous blood vessels, consistent with malignancy. VideoGIE 2017 2, 145-146DOI: (10.1016/j.vgie.2017.03.001) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions