Cholangioscopy-guided laser lithotripsy alongside a plastic stent for common bile duct stones after total gastrectomy

Endoscopy 2026 Open access

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Authors: Ryo Soma, Haruo Miwa, Kazuki Endo, Ritsuko Oishi, Yuichi Suzuki, Hiromi Tsuchiya, Shin Maeda
DOI: 10.1055/a-2761-0266
Cited by: 0

Abstract

▶ Fig. 3 Fluoroscopic images of biliary stenting.a Biliary cannulation is performed using a rotatable papillotome, and the common bile duct is highly angulated.b A double-pigtail plastic stent (7-Fr, 12 cm) is placed with its proximal end anchored in the intrahepatic bile duct.▶ Fig. 4 a The 9-Fr eyeMAX cholangioscope is inserted alongside the plastic stent.b The 9-Fr eyeMAX cholangioscope is advanced easily to the perihilar bile duct.c Laser lithotripsy is successfully performed using a holmium-YAG laser system (LithoEVO, Edap TMS).d A residual stone is removed using a micro-basket catheter under cholangioscopy guidance.E60

Fields of Study & Subjects

Gallbladder and Bile Duct Disorders Biliary and Gastrointestinal Fistulas Kidney Stones and Urolithiasis Treatments

Publication details

Journal / source
Endoscopy
Volume
58
Issue
S 01
Pages
E59–E61
Publication date
15 January 2026
Language
EN