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http://dx.doi.org/10.1055/a-2155-4207 | DOI Listing |
ACG Case Rep J
October 2024
University Health Network, Toronto General Hospital, Toronto, Ontario, Canada.
Gut Liver
September 2025
Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.
Management of common bile duct (CBD) stones has evolved substantially with the advent of endoscopic techniques and dedicated high-end devices. Endoscopic retrograde cholangiopancreatography (ERCP) has become a widespread essential technique for managing CBD stones, with high success rates in standard cases. However, for patients with large stones, stones in an impacted state, and stones in anatomically challenging regions, advanced strategies using various dedicated devices may be needed.
View Article and Find Full Text PDFDig Dis Sci
August 2025
Department of Gastroenterology, The People's Hospital of Leshan, Southwest Medical University, Luzhou, China.
Purpose: Endoscopic retrograde cholangiopancreatography (ERCP) is the established therapeutic modality for pancreaticobiliary diseases and has traditionally been performed under fluoroscopic guidance. According to the ALARA principle (radiation exposure as low as reasonably achievable), it is justifiable to perform an ERCP with minimal radiation exposure if it can be done without increased risk, decreased efficacy or compromised efficiency. The study aimed to evaluate management of choledocholithiasis in the general population via a radiation-free (RF) approach based on peroral digital cholangioscopy (DC).
View Article and Find Full Text PDFDig Dis Sci
August 2025
Department of Gastroenterology, The Affiliated Jiangning Hospital of Nanjing Medical University, Nanjing, Jiangsu, China.
Clin J Gastroenterol
August 2025
Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
A 55-year-old woman who had undergone extrahepatic bile duct resection and choledochojejunostomy for pancreatobiliary maljunction was admitted to our hospital with acute cholangitis caused by large intrahepatic bile duct stones. We performed direct peroral cholangioscopy using a double-balloon endoscope. After fragmenting the stones with a snare under direct visualization, we attempted to remove them using a retrieval net, which led net impaction.
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