Application of a wire-guided side-viewing duodenoscope in total esophagectomy with colonic interposition

Figure 1 Esophagography showing the interposition of the colon (C) and the gastric remnant (S).

Figure 2 Magnetic resonance cholangiopancreatography showing a stone in the distal common bile duct (arrow). The arrowhead shows the second portion of the duodenum.

Figure 3 The radio-opaque standard guidewire (arrowhead) was inserted through the working channel of the gastroscope.

Figure 4 With the patient in the left-lateral position, endoscopic retrograde cholangiopancreatography showed a filling defect in the distal part of the common bile duct (arrow). The arrowhead shows the pancreatic duct.

Figure 5 Complete sphincterotomy.

Figure 6 The pigment stone retrieved by a Dormia basket.

Figure 7 The duodenoscope (arrowhead) was pushed along the guidewire (arrow) at the same axis under fluoroscopic guidance .