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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2021; 12(01): 056-057
DOI: 10.1055/s-0040-1715282
Case Report

Clearance of Cystic Duct Remnant Stones Using a SpyGlass Retrieval Basket during Single-Operator Cholangioscopy at ERCP

James Hawken
1   Bristol Liver Unit, University Hospitals Bristol, Bristol, United Kingdom
,
Jim Portal
1   Bristol Liver Unit, University Hospitals Bristol, Bristol, United Kingdom
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Abstract

Extraction of stones from a cystic duct remnant following cholecystectomy poses a significant therapeutic dilemma. Surgical intervention has historically been required due to difficulty accessing the cystic duct remnant during conventional endoscopic retrograde cholangiopancreatography. Single-operator cholangioscopy can access the cystic duct remnant, enabling electrohydraulic lithotripsy and stone extraction. Method of stone extraction has seldom been described in this developing field. Clearing duct remnant stones using guidewire placement and an extractor balloon have been reported. This is the first reported case of cystic duct remnant stone extraction using a SpyGlass retrieval basket.

Keywords

cystic duct remnant stone - ERCP - SpyGlass - SpyGlass retrieval basket


Publication History

Article published online:
17 April 2021

© 2020. Society of Gastrointestinal Endoscopy of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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