Stone Management

No Stone Left Unturned: Difficult Stone Management Techniques and Clinical Perspective Featuring the SpyGlass™ DS System & Autolith™ Touch EHL System


Procedural Techniques

Douglas Adler, M.D. University of Utah Hospital, Salt Lake City, discusses biliary stone management and demonstrates techniques for removing stones using a retrieval basket.

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Managing Complex Bile Duct Stones

Dr. Doug Adler discusses the options for biliary stone management.

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Cannulation

Cannulation and scope technique while advancing the retrieval basket over the guidewire is demonstrated.

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Sizing the Basket

Sizing the retrieval basket and the importance of having a range of available sizes for managing biliary stones is discussed.

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Stone Capture

A biliary stone capturing technique using a retrieval basket is demonstrated.

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Mechanical Lithotripsy

Mechanical lithotripsy and the option of using a balloon dilation gun for removing biliary stones is explained.

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Managing Procedural Complications

Addresses managing procedural complications when using a retrieval basket to remove biliary stones.

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Video Case Studies

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Large Common Hepatic Duct Stone Fragmented Using SpyGlass DS System with Holmium Laser by Isaac Raijman, M.D.

A 69-year-old woman was treated at another endoscopy unit for choledocholithiasis.

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Electrohydraulic Lithotripsy for Large Common Bile Duct Stones, presented by Douglas G. Adler, M.D.

A 68-year-old male developed obstructive jaundice due to a tightly impacted stone in the common bile duct. Electrohydraulic lithotripsy (EHL) is performed with a probe through a cholangioscope to fracture the stone.

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SpyGlass™ DS Direct Visualization System Video Case Study Atlas

Animations

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Trapezoid™ RX Wireguided Retrieval Basket

This animation demonstrates the use of the Trapezoid RX Wireguided Retrieval Basket to remove biliary stones.

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Dilation Assisted Stone Extraction (DASE) Procedural Animation

This procedural animation walks through the steps of removing difficult biliary stones using the dilation assisted stone extraction (DASE) technique.

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SpyGlass™ DS Direct Visualization System Animation

This animation includes an overview of the new SpyGlass DS System components, a demonstration of the new digital system taking targeted biopsies with the miniature SpyBite™ forceps as well as targeting large stones for fragmentation using EHL or holmium laser therapy under direct visualization.

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