Using Cholangioscopy to Fragment a Difficult Stone in a Patient who had 17 Previous ERCPs by Mary Lee Krinsky, D.O.

An 81-year-old man with a history of recurrent choledocholithiasis presented to the hospital with cholangitis after undergoing 17 previous ERCPs. The patient had a large stone at the bifurcation of the biliary tree and attempts at mechanical lithotripsy failed to achieve complete removal. The patient then underwent ERCP with cholangioscopy, using the SpyGlass DS System.