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Endoscopic sphincterotomy for residual choledocholithiasis in a patient with a Billroth II gastrectomy

Epublication WebSurg.com, Mar 2009;09(03). URL: http://websurg.com/doi/vd01en2562

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  • 2009-03-12
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This video presents the case of a 54-year-old patient who underwent a Billroth II distal gastrectomy 10 years ago with an isoperistaltic anastomosis and 48 hours before he had a laparoscopic cholecystectomy for acute cholecystitis. Because of persistent pain and accentuated jaundice related to choledocholithiasis, a large sphincterotomy was performed with a duodenoscope and a standard sphincterotome used as an inverted sphincterotome. A 13.5mm balloon dilation facilitated the extraction of several 1cm bile duct stones.