Endoscopy 2020; 52(S 01): S234
DOI: 10.1055/s-0040-1704731
ESGE Days 2020 ePoster Podium presentations
Saturday, April 25, 2020 15:00 – 15:30 ERCP: Challenging anatomy ePoster Podium 2
© Georg Thieme Verlag KG Stuttgart · New York

ADVANCED CHOLANGIOSCOPY GUIDED LITHOTRIPSY IN A PATIENT WITH A BILLROTH II GASTRECTOMY – AN INNOVATIVE SOLUTION

M Moreira
1   Santa Luzia Hospital – Unidade Local de Saúde Alto Minho, Gastroenterology, Viana do Castelo, Portugal
,
J Fernandes
1   Santa Luzia Hospital – Unidade Local de Saúde Alto Minho, Gastroenterology, Viana do Castelo, Portugal
,
T Araújo
1   Santa Luzia Hospital – Unidade Local de Saúde Alto Minho, Gastroenterology, Viana do Castelo, Portugal
,
H Ribeiro
1   Santa Luzia Hospital – Unidade Local de Saúde Alto Minho, Gastroenterology, Viana do Castelo, Portugal
,
S Giestas
1   Santa Luzia Hospital – Unidade Local de Saúde Alto Minho, Gastroenterology, Viana do Castelo, Portugal
,
J Ramada
1   Santa Luzia Hospital – Unidade Local de Saúde Alto Minho, Gastroenterology, Viana do Castelo, Portugal
,
L Lopes
1   Santa Luzia Hospital – Unidade Local de Saúde Alto Minho, Gastroenterology, Viana do Castelo, Portugal
2   Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal
3   ICVS/3B’s – PT Government Associate Laboratory, Braga/Guimarães, Portugal
,
J Canena
4   Professor Doutor Fernando Fonseca Hospital, Gastroenterology, Amadora, Portugal
5   Nova Medical School-Faculty of Medical Sciences, Lisboa, Portugal
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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Introduction Endoscopic removal of large CBD stones in patients with Billroth II gastrectomy is difficult and complex.

Aims & Methods We present the video of a 73 year-old-man, with Billroth II sub-total gastrectomy, with a large CBD stone treated using spyglass-guided laser lithotripsy.

Results A therapeutic gastroscope was used, allowing the insertion of the Spyglass cholangioscope; holmium laser lithotripsy was performed with complete removal of the stone.

Conclusion This is one of the first descriptions of the use of Spyglass-assisted lithotripsy in a patient with a Billroth II gastrectomy, with several technical adaptations to ensure the success of the treatment.