Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Video

Updated: Jun 25, 2025

Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery

Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery

Published on: February 10, 2023

Single-operator cholangioscopy unveiling a pinehole post-cholecystectomy biliary strictures.

Luís Correia Gomes¹, Marta Moreira², Isabel Tarrio²

¹Gastronterology, Instituto Português de Oncologia de Lisboa Francisco Gentil , Portugal.

Revista Espanola De Enfermedades Digestivas

|May 22, 2024

Summary

Related Concept Videos

Endoscopic Procedures V: ERCP

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

Curated endoscopic retrograde cholangiopancreatography images dataset.

Scientific data·2026

Same authorSame journal

Automated extraction of colonoscopy quality indicators from free-text reports using a prompt-based large language model pipeline.

Revista espanola de enfermedades digestivas·2026

Same author

Colorectal Endoscopic Full-Thickness Resection: A Portuguese Multicenter Experience Based on a Retrospective Cohort.

GE Portuguese journal of gastroenterology·2025

Same author

Recommendations for the Clinical Practice concerning the Use of Cholangiopancreatoscopy: Proceedings from a Consensus Meeting.

GE Portuguese journal of gastroenterology·2025

Same author

Predictive factors of spontaneous common bile duct clearance and unnecessary ERCP in patients with choledocholithiasis.

Clinics and research in hepatology and gastroenterology·2024

Same author

Standard Cannulation versus Fistulotomy for Biliary Access in Endoscopic Retrograde Cholangiopancreatography: Should We Expect the Same Success when Treating Choledocholithiasis?

GE Portuguese journal of gastroenterology·2024

This summary is machine-generated.

This case study details the successful management of a complex bile duct stone and fibrotic stenosis in a post-cholecystectomy patient. Advanced endoscopic techniques, including cholangioscopy, were crucial for diagnosis and treatment.

Area of Science:

Gastroenterology
Endoscopic retrograde cholangiopancreatography (ERCP)
Biliary tract disease

Background:

Choledocholithiasis and common bile duct (CBD) stenosis can cause acute cholangitis, particularly in post-cholecystectomy patients.
Accurate diagnosis and effective treatment are essential to prevent complications.

Observation:

A 77-year-old female presented with fever and myalgia, exhibiting signs of cholestasis and CBD dilation on CT scan.
ERCP revealed a distal CBD stone and a short, fibrotic CBD stenosis near a surgical clip.

Findings:

Successful removal of an 8mm CBD stone was achieved.
SpyGlass DS cholangioscopy identified a fibrotic pinehole stenosis, enabling guidewire passage under direct visualization.
A fully covered metal stent was deployed to manage the stenosis.

Related Experiment Videos

Last Updated: Jun 25, 2025

Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery

Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery

Published on: February 10, 2023

Implications:

This case highlights the utility of SpyGlass DS cholangioscopy in managing complex biliary obstructions when conventional ERCP fails.
Direct visualization and targeted intervention can improve outcomes in challenging choledocholithiasis and stenosis cases.
Minimally invasive endoscopic management offers a viable alternative for selected patients with post-cholecystectomy biliary complications.