ASGE DDW Videos from Around the World | 2026-THULIUM FIBER LASER AND ELECTROHYDRAULIC LITHOTRIPSY IN THE ENDOSCOPIC TREATMENT OF THE PATIENT WITH BILIARY STRICTURE AND STONES ASSOCIATED WITH INTRADUCTAL MIGRATED CLIPS

THULIUM FIBER LASER AND ELECTROHYDRAULIC LITHOTRIPSY IN THE ENDOSCOPIC TREATMENT OF THE PATIENT WITH BILIARY STRICTURE AND STONES ASSOCIATED WITH INTRADUCTAL MIGRATED CLIPS

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Video Transcription

Video Summary

A 68-year-old woman with jaundice and abdominal pain was found to have biliary dilation, a proximal CBD stricture, stones, and migrated surgical clips after prior ERCP and cholecystectomy. Endoscopic treatment included balloon dilation, cholangioscopy, stone extraction, electrohydraulic lithotripsy, and thulium fiber laser excision to free and remove a retained clip. Three biliary stents were placed. The procedure was successful without complications, liver tests improved, and the patient was discharged on day 3 with planned stent exchange in three months. The case highlights combined advanced endoscopic techniques for complex biliary obstruction.

Asset Subtitle

S. Budzinskiy, L. Kozyr, S. Shapovalyants, A. Shidii-Zakrua, E. Fedorov, M. Murashkina

Keywords

biliary obstruction

endoscopic treatment

cholangioscopy

electrohydraulic lithotripsy

retained surgical clip