Clinical case of electrohydraulic lithotripsy performed with the SPYGLASS video endoscopic visualization system from a patient with a Billroth II resected stomach

Transpapillary peroral cholangioscopy, first performed in the 1970th, has become widespread over the past decade. Modern technical improvements, including high-quality imaging, have led to a renaissance of the technique, which now offers the possibility of performing a wide range of not only diagnostic but also therapeutic procedures. In this review, we present a clinical case of the use of electrohydraulic lithotripsy in transpapillary peroral cholangioscopy, focusing on the technical possibilities of its clinical use.