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Endoscopic laser lithotripsy and lithotomy through the lumen-apposing metal stent for a giant gallstone after EUS gallbladder drainage  Wei Wang, MD,

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Presentation on theme: "Endoscopic laser lithotripsy and lithotomy through the lumen-apposing metal stent for a giant gallstone after EUS gallbladder drainage  Wei Wang, MD,"— Presentation transcript:

1 Endoscopic laser lithotripsy and lithotomy through the lumen-apposing metal stent for a giant gallstone after EUS gallbladder drainage  Wei Wang, MD, Xingang Shi, MD, Zhendong Jin, MD, Zhaoshen Li, MD  VideoGIE  Volume 2, Issue 5, Pages (May 2017) DOI: /j.vgie Copyright © 2017 The Authors Terms and Conditions

2 Figure 1 CT image showing gallstone.
VideoGIE 2017 2, DOI: ( /j.vgie ) Copyright © 2017 The Authors Terms and Conditions

3 Figure 2 EUS image showing the size of gallstone (2.6 × 1.9 cm).
VideoGIE 2017 2, DOI: ( /j.vgie ) Copyright © 2017 The Authors Terms and Conditions

4 Figure 3 EUS-guided puncture and lavage of gallbladder.
VideoGIE 2017 2, DOI: ( /j.vgie ) Copyright © 2017 The Authors Terms and Conditions

5 Figure 4 Fluid from 5 successive rounds of gallbladder lavage.
VideoGIE 2017 2, DOI: ( /j.vgie ) Copyright © 2017 The Authors Terms and Conditions

6 Figure 5 Fluoroscopic view showing lumen-apposing stent deployment.
VideoGIE 2017 2, DOI: ( /j.vgie ) Copyright © 2017 The Authors Terms and Conditions

7 Figure 6 The concentration of bile acid and bilirubin was decreased significantly. VideoGIE 2017 2, DOI: ( /j.vgie ) Copyright © 2017 The Authors Terms and Conditions

8 Figure 7 Giant stone broken into small fragments.
VideoGIE 2017 2, DOI: ( /j.vgie ) Copyright © 2017 The Authors Terms and Conditions

9 Figure 8 Removal of stent.
VideoGIE 2017 2, DOI: ( /j.vgie ) Copyright © 2017 The Authors Terms and Conditions

10 Figure 9 Basket extraction of residual stones.
VideoGIE 2017 2, DOI: ( /j.vgie ) Copyright © 2017 The Authors Terms and Conditions

11 Figure 10 Complete extraction of all stones.
VideoGIE 2017 2, DOI: ( /j.vgie ) Copyright © 2017 The Authors Terms and Conditions

12 Figure 11 Fluoroscopic view showing no residual stones.
VideoGIE 2017 2, DOI: ( /j.vgie ) Copyright © 2017 The Authors Terms and Conditions

13 Figure 12 Fistula was put aside.
VideoGIE 2017 2, DOI: ( /j.vgie ) Copyright © 2017 The Authors Terms and Conditions

14 Figure 13 Fistula closed up 2 days after surgery.
VideoGIE 2017 2, DOI: ( /j.vgie ) Copyright © 2017 The Authors Terms and Conditions

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