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. 2021 Jun 24;6(9):413-415.
doi: 10.1016/j.vgie.2021.05.015. eCollection 2021 Sep.

Disposable digital percutaneous cholangioscope-aided retrieval of a plastic biliary stent after failed retrieval at ERCP

Sooraj Tejaswi  1 , Rex M Pillai  2 , Sirisha Grandhe  1 , Dhairyasheel Patel  2 , Zachary B Jenner  2
Affiliations

Disposable digital percutaneous cholangioscope-aided retrieval of a plastic biliary stent after failed retrieval at ERCP

Sooraj Tejaswi et al. VideoGIE. .

Abstract

Video 1Cholangioscopy, fluoroscopy, and endoscopy of the percutaneous retrieval of a biliary stent across an iatrogenic common hepatic duct stricture due to surgical staples.

Keywords: CHD, common hepatic duct.

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Figures

Figure 1
Figure 1
A, Scout fluoroscopic image showing the proximal end of the plastic stent (yellow arrow), the surgical clips causing the iatrogenic stricture in the common hepatic duct (white arrows), and the sheared-off distal end of the stent (white oval). B, Endoscopic view of the sheared distal end of the common bile duct stent extending out of the ampulla. C, Image of the novel disposable percutaneous digital cholangioscope. D, Endoscopic view of countertraction applied on the sheared-off distal end of the stent with a rat-tooth forceps. E, Pictorial description of countertraction on the distal end of the stent to enable percutaneous retrieval. F, Percutaneous cholangioscopic view of SpyGlass Retrieval snare around the proximal end of the plastic stent. G, Cholangioscopic view of surgical clip embedded in the hilar mucosa (yellow arrow). H, Completion cholangiogram after stent retrieval.
See this image and copyright information in PMC

References

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