Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Evaluating the Impact of Early Palliative Care Consultation on 30-Day and 90-Day Readmissions Among Patients With Decompensated Cirrhosis: A National Perspective.

Journal of clinical gastroenterology·2025
Same author

US multicenter outcomes of endoscopic ultrasound-guided gallbladder drainage with lumen-apposing metal stents for acute cholecystitis.

Endoscopy international open·2025
Same author

Brunner's Gland Hyperplasia Causing Complete Small Bowel Obstruction in a Patient With Helicobacter pylori.

Cureus·2023
Same author

Gastrointestinal endoscopy during the coronavirus pandemic in the New York area: results from a multi-institutional survey.

Endoscopy international open·2020
Same author

Full-thickness resection device (FTRD) for treatment of upper gastrointestinal tract lesions: the first international experience.

Endoscopy international open·2020
Same author

Endoscopic approach to gastric remnant outlet obstruction after gastric bypass: A case report.

World journal of gastrointestinal endoscopy·2020

Related Experiment Video

Updated: Jun 18, 2026

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy
03:56

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy

Published on: September 13, 2022

Choledochoscopy-assisted intraductal shock wave lithotripsy.

Jason Bratcher1, Franklin Kasmin

  • 1Division of Gastroenterology, Beth Israel Medical Center, 10 Nathan Perlman Place, First Avenue at 16th Street, New York, NY 10003, USA.

Gastrointestinal Endoscopy Clinics of North America
|November 18, 2009
PubMed
Summary

Endoscopic retrograde cholangiopancreatography successfully removes most bile duct stones. For difficult cases, advanced fragmentation techniques like intraductal shock wave lithotripsy are effective.

Related Experiment Videos

Last Updated: Jun 18, 2026

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy
03:56

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy

Published on: September 13, 2022

Area of Science:

  • Gastroenterology
  • Endoscopic procedures
  • Biliary tract diseases

Background:

  • Choledocholithiasis (bile duct stones) is common.
  • Standard endoscopic retrograde cholangiopancreatography (ERCP) with stone extraction is successful in over 90% of cases.
  • Difficult or impacted stones pose a challenge for standard ERCP techniques.

Purpose of the Study:

  • To review advanced techniques for bile duct stone fragmentation.
  • To discuss the role of intraductal shock wave lithotripsy in managing difficult choledocholithiasis.
  • To highlight electrohydraulic and laser lithotripsy as therapeutic options.

Main Methods:

  • Review of clinical applications of intraductal lithotripsy techniques.
  • Focus on electrohydraulic lithotripsy (EHL) and laser lithotripsy.
  • Discussion of ERCP with sphincterotomy and stone retrieval.

Main Results:

  • Standard ERCP techniques fail in a small percentage of patients.
  • Intraductal shock wave lithotripsy is effective for large, impacted, or inaccessible stones.
  • EHL and laser lithotripsy offer solutions for challenging biliary stone cases.

Conclusions:

  • Advanced lithotripsy techniques are valuable adjuncts to ERCP for choledocholithiasis.
  • These methods provide effective fragmentation when standard extraction fails.
  • Endoscopic management of complex bile duct stones can be optimized with lithotripsy.