Choledocholithiasis – Sphincterotomy and Stone Extraction with a Basket

Endoscopic sphincterotomy is a basic technique that enables extraction of biliary stones by enlarging the papillary opening. However, it is also the most invasive procedure routinely performed by endoscopists and is associated with a considerable complication risk, especially when not properly performed. Here the author presents a case with jaundice and suspected biliary stones. Step-by-step explanation of the sphincterotomy and stone extraction technique with a basket is provided. Moreover, options for cannulating a floppy papilla are demonstrated. This article is part of an expert video encyclopedia.