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Direct Cholangioscopy With a Double-Balloon Enteroscope for Bile Duct Stones in a Patient After Distal Gastrectomy
Yusuke Sakurai1, Atsushi Kanno1, Akitsugu Tanaka1
1Division of Gastroenterology, Department of Medicine, Jichi Medical University, Tochigi, Japan.
Journal of Hepato-Biliary-Pancreatic Sciences
|February 21, 2026
Abstract:
With accompanying video, Sakurai and colleagues described a peroral direct cholangioscopy technique using a double-balloon enteroscope to treat bile duct stones after Billroth II gastrectomy. Direct insertion of the enteroscope into the bile duct eliminated scope exchange, enabling precise device manipulation, broader accessory selection, and shorter procedure time.

