ERCP Bootcamp (On-Demand) | July 2026-Advanced Stone Management

Video Transcription

Video Summary

The talk focused on managing difficult common bile duct stones during ERCP, comparing mechanical lithotripsy with cholangioscopy-guided electrohydraulic lithotripsy (EHL). Difficult stones were defined as those not cleared in one ERCP or those impacted, large, shaped by duct anatomy, strictures, or prior surgery. Mechanical lithotripsy is cheap and widely available but less effective for large, hard, impacted stones. EHL, using SpyGlass and saline, is increasingly favored for complex cases. The speaker emphasized teamwork, standardized equipment “recipe cards,” pre-planning, and avoiding problematic baskets to improve efficiency and outcomes.

Asset Subtitle

Prathab Devaraj, MD, FASGE

Meta Tag

Concept Common Bile Duct Stone

Concept Difficult Bile Duct Stone

Concept Mechanical Lithotripsy

Concept Electrohydraulic Lithotripsy

Concept Cholangioscopy

Keywords

common bile duct stones

ERCP

mechanical lithotripsy

cholangioscopy-guided EHL

SpyGlass

Common Bile Duct Stone

Difficult Bile Duct Stone

Mechanical Lithotripsy

Electrohydraulic Lithotripsy

Cholangioscopy