ASGE DDW Videos from Around the World | 2026-BEYOND CONVENTIONAL ENDOSCOPY- CRYOPROBE-ASSISTED ENDOSCOPIC EXTRACTION OF AN IMPACTED GALLSTONE IN A PATIENT WITH BOUVERET SYNDROME

BEYOND CONVENTIONAL ENDOSCOPY- CRYOPROBE-ASSISTED ENDOSCOPIC EXTRACTION OF AN IMPACTED GALLSTONE IN A PATIENT WITH BOUVERET SYNDROME

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Video Transcription

Video Summary

A 65-year-old woman with Bouveret syndrome, a rare cause of gastric outlet obstruction from an impacted gallstone, presented with nausea, vomiting, and epigastric pain. CT showed a cholecystoduodenal fistula and a large stone lodged in the duodenum. After standard endoscopic methods failed, including snares, balloons, a helix device, and lithotripsy, clinicians used a flexible cryoprobe to freeze-adhere and remove the stone endoscopically. The stone was then fragmented in the stomach and removed. She recovered without complications, highlighting cryoprobe-assisted extraction as a promising minimally invasive rescue technique for high-risk patients.

Asset Subtitle

Video Plenary II
Submitted by Shailendra Singh

Keywords

Bouveret syndrome

gallstone obstruction

cholecystoduodenal fistula

cryoprobe extraction

endoscopic lithotripsy