ASGE DDW Videos from Around the World | 2024-ROLLING STONES LASER SHOW

Video Transcription

Video Summary

A 62-year-old female presented with colonic gallstone ileus, a rare complication of cholelithiasis. Traditional surgical management was considered, but endoscopic guided laser lithotripsy was attempted due to the impacted nature of the stone. Endoscopy under general anesthesia failed initially, but a second attempt with laser lithotripsy successfully broke the stone into manageable pieces for removal. The procedure utilized a guide wire-driven balloon dilator to aid in stone breakup and removal. Fluoroscopic imaging confirmed successful stone fragmentation and removal. This case demonstrates the potential for avoiding surgery in colonic gallstone ileus cases through endoscopic guided laser lithotripsy, with further studies needed to evaluate safety and efficacy.

Asset Subtitle

Mahmoud Aryan

Meta Tag

Concept Colonic Gallstone Ileus

Concept Laser-assisted lithotripsy

Concept Computed Tomography

Concept Endoscopy

Concept Malignant Large Bowel Obstruction

Keywords

colonic gallstone ileus

endoscopic guided laser lithotripsy

cholelithiasis

guide wire-driven balloon dilator

fluoroscopic imaging

Colonic Gallstone Ileus

Laser-assisted lithotripsy

Computed Tomography

Endoscopy

Malignant Large Bowel Obstruction