Endoscopic management of a nasobiliary drain migrated into the gallbladder.

ABSTRACT:

Background and aims

Endoscopic gallbladder-preserving cholecystolithotomy is a potential alternative to laparoscopic cholecystectomy for patients desiring gallbladder preservation and meeting biliary lithotripsy indications. This article reports a case of initial endoscopic failure requiring multiple interventions, highlighting the importance of individualized decision-making and multitechnique integration in complex cases.

Methods

A 61-year-old man with gallstones refused laparoscopic cholecystectomy and underwent ERCP-guided gallbladder-preserving cholecystolithotomy. To minimize sphincter injury, limited endoscopic papillotomy (EPT) with large-balloon dilation (EPLBD) was performed, followed by nasobiliary drain to aid residual microstone clearance and assess gallbladder

SUBMITTER: Shi J 

PROVIDER: S-EPMC12624234 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature