Bile stene snar

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A novel method of endoscopic removal of an impacted ampullary stone using a snare (case report with video) Yang-Lin Pan , 1, 2 Catherine Ngo , 1 Danny Yen , 1 and Joseph Leung 1 1 Section of Gastroenterology, Sacramento Veterans Affairs Medical Center, Mather, CA and UC Davis Medical Center, Sacramento, CA, USA

For stent placement in both the pancreatic duct and the common bile duct during the same operative session, placement of separate stents in both the right and left hepatic ducts, or placement of two side-by-side stents in the same duct, 43274 may be reported for each additional stent placed, using modifier -59 with the subsequent procedure[s]).

In the event of anticipated difficult stent exchange, the occluded stent may be left in place and used as a guide for common bile duct cannulation, and a second stent is placed and the occluded stent is removed. Some endoscopists prefer to remove the stent from the bile duct by grasping the stent with a snare.

Performing ERCP with Stent Placement and Cholangioscopy by Neil Sharma, M.D., Fort Wayne, Indiana, U.S.A. Using the SpyGlass™ DS System, biliary stones are identified and removed, and targeted biopsies are performed where cholangiocarcinoma is suspected. Once a diagnosis of benign ductal cells is confirmed, a plastic stent is placed.

Cholangioscopy-guided retrieval basket and snare for the removal of biliary stones and retained prostheses Failure to diagnose and remove bile duct stones decreased 5-fold from 23% (14 of 60

Managing Difficult Stones using Cholangioscopy, Presented by Mark Ellrichmann, M.D., Kiel, Germany . Dr. Ellrichmann presents his experience diagnosing and treating complex bile duct stones, and shares case studies and data related to cholangioscopy with lithotripsy.

removal with the SpyGlass retrieval snare was completed. Patient 2 presented with cholangitis from an impacted common bile duct stone. Fragmentation with electrohydraulic lithotripsy was performed, and the fragments were removed with the SpyGlass retrieval basket. Patient 3 presented for removal of a migrated biliary stent. The

Video1 Endoscopic destruction of a large intrajejunal stone using the tip of a polypec-tomy snare, a procedure repeated after 1 month, resulting in normal caliber bile ducts on follow-up 8 months later. Rivory Jérôme et al. Polypectomy snare and high Autocut for intrajejunal biliary stone… Endoscopy 2019; 51: E164–E165 E165

Biliary stone removal is generally performed five to six weeks following surgical placement of a T-tube to allow for bile duct drainage and maturation of the drainage tract. Once the tract is matured, a guide wire is inserted into the bile duct and the T-tube is removed. A sheath is then passed over the guide wire and the guide wire is removed.

Bile Duct Procedures Reopening bile tube without surgery. such as removal of a bile duct stone. and advance a small snare or basket device through the sheath to acquire and draw out the stones. Other possible interventional steps include passing the stone into the small intestine or breaking up the stone for easier retrieval.