Korean J Gastroenterol.  2022 Oct;80(4):200-202. 10.4166/kjg.2022.125.

Single-operator Cholangioscopy Guided Intrahepatic Stone Retrieval in a Patient with Choledochojejunostomy

Affiliations
  • 1Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kyung Hee University Hospital, Kyung Hee University College of Medicine, Seoul, Korea


Figure

  • Fig. 1 Cholangiography did not show the intrahepatic duct because contrast flowed from the extrahepatic duct to the jejunum through the anastomosis site (arrows).

  • Fig. 2 Cholangioscopic view showing focal stricture of the left intrahepatic duct containing multiple stones.

  • Fig. 3 Cholangioscopic view showing multiple stones within the affected duct.

  • Fig. 4 Radiographic image showing balloon dilation of the focal stricture of intrahepatic duct containing multiple stones.

  • Fig. 5 Radiographic image showing complete stone clearance.


Reference

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2. Monteiro Cunha JE, Herman P, Machado MC, et al. 2002; A new biliary access technique for the long-term endoscopic management of intrahepatic stones. J Hepatobiliary Pancreat Surg. 9:261–264. DOI: 10.1007/s005340200029. PMID: 12140617.
3. Mori T, Sugiyama M, Atomi Y. 2006; Gallstone disease: management of intrahepatic stones. Best Pract Res Clin Gastroenterol. 20:1117–1137. DOI: 10.1016/j.bpg.2006.05.010. PMID: 17127192.
4. Kalaitzakis E, Webster GJ, Oppong KW, et al. 2012; Diagnostic and therapeutic utility of single-operator peroral cholangioscopy for indeterminate biliary lesions and bile duct stones. Eur J Gastroenterol Hepatol. 24:656–664. DOI: 10.1097/MEG.0b013e3283526fa1. PMID: 22433791.
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