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http://dx.doi.org/10.1016/j.gie.2024.06.019 | DOI Listing |
Endoscopy
December 2025
Department of Gastroenterology/Endoscopy, Manchester University NHS Foundation Trust, Manchester, United Kingdom.
J Vis Exp
June 2025
Department of Endoscopy, Shanghai Tong Ren Hospital, Shanghai Jiao Tong University School of Medicine;
Hepatolithiasis refers to the presence of stones in the branching bile ducts above the confluence of the left and right hepatic ducts, often accompanied by extrahepatic bile duct stones. These stones can induce local infections and secondary bile duct strictures, making their discharge difficult and leading to severe complications. While endoscopic retrograde cholangiopancreatography (ERCP) is an effective minimally invasive method for treating cholangiolithiasis, it is often challenging to address hepatolithiasis using this technique.
View Article and Find Full Text PDFEndoscopy
September 2025
Department of Internal Medicine with Gastroenterology and Geriatrics, Klinik Floridsdorf, Vienna, Austria.
Quality Standards: Competence in cholangioscopy should be defined as the ability to successfully perform the procedure effectively, without trainer assistance, in 80 % of procedures. Cholangioscopy should be performed in endoscopy units with a high yearly volume of endoscopic retrograde cholangiopancreatographies (ERCPs) of all grades of complexity. Cholangiopancreatoscopy practice should be considered as standard or advanced as follows: - STANDARD : Cholangioscopy for extrahepatic biliary stones; evaluation of extrahepatic biliary strictures; selective ductal guidewire cannulation and removal of migrated biliary stents/foreign body extraction - ADVANCED : Cholangioscopy for intrahepatic biliary strictures or complex hepatolithiasis; percutaneous cholangioscopy and pancreatoscopy.
View Article and Find Full Text PDFJ Vasc Interv Radiol
August 2025
Department of Radiology, Division of Interventional Radiology, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, CA 94305.
J Hepatobiliary Pancreat Sci
July 2025
Department of Gastroenterology and Hepatology, Kansai Medical University Medical Center, Osaka, Japan.
Toyonaga and colleagues describe double-balloon enteroscopy-assisted peroral cholangioscopy-guided electrohydraulic lithotripsy for evaluating intrahepatic bile ducts and managing stones in patients with surgically altered anatomy. Using a novel thin cholangioscope, this technique enables effective stone fragmentation and removal without scope exchange, highlighting its utility in anatomically challenging cases.
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