Treatment of Choledocholithiasis following Roux-en-Y Hepaticojejunostomy Using Double-Balloon Endoscopy

nostomy and was referred to our hospital with choledocholithiasis. On admission, the jaundiced patient complained about abominal pain. Gallstones in intraand extrahepatic bile ducts were detected by ultrasound and magnetic resonance cholangiography ( fig. 1 A). As the diameter of the gallstones exceeded the diameter of Dear Sir, Endoscopic treatment of gallstones in patients with a Roux-en-Y hepaticojejunostomy is frequently impaired, as the lengths of the remaining stomach and of the afferent loop exceed the length of the endoscope. Here we report the case of a 34-year-old female patient who had previously undergone Roux-en-Y hepaticojejuPublished online: April 10, 2007