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

An 81-year-old Asian man with a history of recurrent choledocholithiasis requiring 17 ERCPs presented with cholangitis. ERCP demonstrated a large stone at the bifurcation of the biliary tree. The patient then underwent an elective ERCP using the SpyGlass™ DS Direct Visualization System.