Procedural Techniques
Dr. Khashab presents different techniques to manage difficult biliary stones, including cholangioscopy (SpyGlass™ DS System) using EHL, mechanical lithotripsy and DASE.
Managing Complex Bile Duct Stones, by Doug Adler, MD
Dr. Doug Adler discusses the options for biliary stone management.
Video Case Studies
Endoscopic Papillary Balloon Dilation, Raj J. Shah, MD
DASE with a CRE™ RX Balloon Dilation Catheter assisted in a successful 20 X 14mm stone extraction where a large sphincterotomy was not possible.
Animations
Trapezoid™ RX Wireguided Retrieval Basket
This animation demonstrates the use of the Trapezoid RX Wireguided Retrieval Basket to remove biliary stones.
Dilation Assisted Stone Extraction (DASE) Procedural Animation
This procedural animation walks through the steps of removing difficult biliary stones using the dilation assisted stone extraction (DASE) technique.
SpyGlass™ DS Direct Visualization System Animation
The animation shows system components, taking biopsies with the SpyBite™ Biopsy forceps and fragmenting stones using EHL or holmium laser therapy under direct visualization.
Clinical Perspectives
Articles & Case Studies
See the many reasons to consider EUS-guided liver biopsy including safety and patient experience.
A 53-year-old male was referred for recurrent biliary obstruction. His medical history included colon cancer, diagnosed in 2014, with hepatic and mediastinal metastases despite chemotherapy.
Patient History The patient was a 75 year old woman diagnosed with cholangiocarcinoma in the CBD 1-1/2 years prior.
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