Dr. Khashab presents different techniques to manage difficult biliary stones, including cholangioscopy (SpyGlass™ DS System) using EHL, mechanical lithotripsy and DASE.
Dr. Doug Adler discusses the options for biliary stone management.
Video Case Studies
DASE with a CRE™ RX Balloon Dilation Catheter assisted in a successful 20 X 14mm stone extraction where a large sphincterotomy was not possible.
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.
This procedural animation walks through the steps of removing difficult biliary stones using the dilation assisted stone extraction (DASE) technique.
The animation shows system components, taking biopsies with the SpyBite™ Biopsy forceps and fragmenting stones using EHL or holmium laser therapy under direct visualization.
Articles & Case Studies
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.