Double‐Balloon Endoscopy–Assisted Peroral Pancreatoscopy–Guided Electrohydraulic Lithotripsy for Pancreatic Duct Stones in a Patient With Pancreaticojejunostomy Stricture After Pancreaticoduodenectomy

With supporting video, Takayama and colleagues demonstrate double-balloon endoscopy-assisted peroral pancreatoscopy-guided electrohydraulic lithotripsy for pancreatic duct stones in a patient with surgically altered anatomy. After balloon dilation of a pancreaticojejunostomy stricture, stones were fragmented under direct pancreatoscopic visualization and successfully removed using a spiral basket, achieving complete ductal clearance.