Basket Extraction for Challenging Intrahepatic Ductal Stones

Chief of Endoscopy
Director of Advanced Therapeutics and Innovation
Division of Gastroenterology
Bassem Matta, MD
Advanced Therapeutic Endoscopy Fellow
Gurneet Bedi, MD Gastroenterology and Hepatology Fellow
Division of Endoscopy
NYU Langone Hospital
New York, NY
Patient History & Assessment
Figure 1

Figure 2

Procedure
Cholangiogram through choledochoduodenostomy revealed multiple filling defects located mostly in liver segment IV. Extraction of many stones was achieved using a SpyGlass™ Retrieval Basket through 18 Fr gastroscope. Segment IV takeoff was dilated to 8 mm using a through the scope balloon. Cholangioscopy using SpyScope™ DS through therapeutic gastroscope with cap was performed revealing many remaining intraductal stones (Figure 3). Extraction of stones with SpyGlass Retrieval Basket enabled complete clearance of segment IV stones (Figure 4, 5).
Get Updates
Stay up to date with emails on the latest advances, news and innovations in endoscopy
Sign up nowEDUCARE
Helping you deliver the best patient care possible. EDUCARE makes it simple. One source. One stop. One schedule - yours.
Get started

