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ERCP + SPYGLASS CHOLANGIOSCOPY + HOLMIUM LASER LITHOTRIPSY + CBD STONE EXTRACTION + STENTING Indication : Large CBD stone at biliary confluence. CBD stent in situ. Anaesthesia: GA Normal papilla. Cholangiogram revealed single very large filling defect at hilum. Spyglass cholangioscopy done. Holmium laser lithotripsy done. Excellent stone pulverization acheived. Stone extraction done with basket and balloon, complete ductal clearance acheived. A 10 Fr stent placed in the CBD for unobstructed biliary drainage. Imp: Large CBD stone, spyglass cholangioscopy, Holmium laser lithotripsy, stone extraction and stenting done. Adv: Stent removal after one month. Dr.Suryaprakash Bhandari MS,DNB,FCPS,EFIAGES. Fellowship in GI Endoscopy (South Korea) Consultant Interventional Gastroenterologist

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Anup Patel, MD, of Nationwide Children's Hospital and The Ohio State University School of Medicine, discusses his research on cannabidiol for the treatment of drop seizures in Lennox-Gastaut syndrome. Results of the GWPCARE3 trial were presented at the 2017 American Academy of Neurology Annual Meeting, April 22-28, 2017 in Boston, MA.

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