ASGE International Sampler (On-Demand) | 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

Keywords

colonic gallstone ileus

endoscopic laser lithotripsy

cholelithiasis

balloon dilator

fluoroscopic imaging