Tips for endoscopic stone-extraction using new short type double balloon endoscope for common bile duct stones in patients with surgically altered gastrointestinal anatomy

The endoscopic approach to pancreatobiliary diseases in postoperative patients had been difficult (1). Percutaneous or surgical interventions were applied as the first line policy. However, using double balloon endoscopes (DBE), especially the short-type DBE, radically made it practical and safe (2, 3). In this study, endoscopic technical tips using the newly developed short-type DBE (EI-580 BT; FUJIFILM Co, Tokyo, Japan) for stone-extraction via papilla for common bile duct stones in patients with Roux-en Y reconstruction post gastrectomy will be introduced.

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