Endoscopic ultrasound-guided technique enhances access for bile duct treatment in patients with cholangitis.
An 83-year-old woman was admitted to undergo endoscopic treatment for recurrent cholangitis caused by intrahepatic bile duct stones. Computed tomography revealed oval stones within the left intrahepatic bile ducts ([Fig. 1]). Stone removal via balloon enteroscopy-assisted endoscopic retrograde cholangiopancreatography (BE-ERCP) was considered technically challenging owing to a history of three previous bile duct surgeries. Therefore, treatment with an endoscopic ultrasound (EUS)-guided technique was selected.
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Hiroshima et al. (2025) studied this question.
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