Successful Treatment of More Than 100 Stones in the Intrahepatic and Extrahepatic Bile Ducts with Endoscopic Sphincterotomy Plus Papillary Balloon Dilatation Techniques

A 40-year-old male patient was admitted to the hospital with cholangitis. His cholestatic enzymes, bilirubin levels, and infectious markers were found to be increased. There were a lot of stones in intrahepatic and extrahepatic bile ducts on radiologic imaging. In endoscopic retrograde chola ngiop ancre atogr aphy, endoscopic sphincterotomy plus papillary balloon dilatation was performed, and later, intrahepatic and extrahepatic bile ducts were repeatedly cleaned with stone extraction balloon; more than 100 stones were extracted into the duodenal lumen. The patient's complaints regressed, and cholestatic enzymes and bilirubin levels decreased. Later, a second endoscopic retrograde chola ngiop ancre atogr aphy was performed. The residue stones that spontaneously fell from right intrahepatics to common bile duct were extracted. Endoscopic sphincterotomy plus papillary balloon dilatation provides high rates of complete stone extraction and decreases the requirement of lithotripsy and biliary stenting.

Cite this article as: Güngör G. Successful treatment of more than 100 stones in the intrahepatic and extrahepatic bile ducts with endoscopic sphincterotomy plus papillary balloon dilatation techniques. Diagn Interv Endosc. 2022;1(3):75-77.