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Common bile duct intussusception during ERCP for stone removal

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Presentation on theme: "Common bile duct intussusception during ERCP for stone removal"— Presentation transcript:

1 Common bile duct intussusception during ERCP for stone removal
Rodrigo Silva de Paula Rocha, MD, Maurício Kazuyoshi Minata, MD, Diogo Turiani Hourneaux de Moura, MD, MSc, Eduardo Guimarães Hourneaux de Moura, MD, PhD, Tomazo Antonio Prince Franzini, MD, PhD  VideoGIE  Volume 3, Issue 1, Pages (January 2018) DOI: /j.vgie Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

2 Figure 1 ERCP cholangiogram with a 7-mm gallstone in the middle third of the common bile duct, intrahepatic segmental strictures, and dilatation. VideoGIE 2018 3, 28-30DOI: ( /j.vgie ) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

3 Figure 2 Basket with the gallstone captured in the middle third of the common bile duct. VideoGIE 2018 3, 28-30DOI: ( /j.vgie ) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

4 Figure 3 Combined movement of clockwise rotation, tip deflection, and endoscope pushing to remove the device with the stone. VideoGIE 2018 3, 28-30DOI: ( /j.vgie ) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

5 Figure 4 Common bile duct intussusception after attempt at stone removal. VideoGIE 2018 3, 28-30DOI: ( /j.vgie ) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

6 Figure 5 Cannulation attempt with guidewire sphincterotome.
VideoGIE 2018 3, 28-30DOI: ( /j.vgie ) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

7 Figure 6 Everted bile duct fistulotomy access.
VideoGIE 2018 3, 28-30DOI: ( /j.vgie ) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

8 Figure 7 Cannulation attempt through the biliary access by use of guidewire sphincterotome. VideoGIE 2018 3, 28-30DOI: ( /j.vgie ) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

9 Figure 8 Extravasation of contrast material after cannulation through the biliary access, suggesting perforation or complete rupture. VideoGIE 2018 3, 28-30DOI: ( /j.vgie ) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

10 Figure 9 Intraoperative cholangiogram through cystic duct showing distal obstruction corresponding to the everted bile duct. VideoGIE 2018 3, 28-30DOI: ( /j.vgie ) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions


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