超声内镜引导下经口胆道镜经肝胃吻合入路治疗Roux-en-Y术后肝总管巨大结石伴梗阻1例(含视频)

A case of endoscopic ultrasound-guided peroral cholangioscopy via hepaticogastrotomy route for huge common hepatic duct stones after Roux-en-Y reconstruction(with video)

介绍了1例Roux-en-Y术后肝总管巨大结石伴梗阻的病例,尝试气囊小肠镜辅助的内镜逆行胰胆管造影术仍不能成功。通过超声内镜引导下两步法介入治疗,即先行超声内镜引导下肝胃吻合术建立治疗通道,再经该通道行经口胆道镜激光碎石及取石,最终治疗成功。