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. 2023 Apr 28;29(16):2495–2501. doi: 10.3748/wjg.v29.i16.2495

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©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.

This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.

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The procedures of cholangioscopy-assisted extraction through novel papillary support for small-calibre and sediment-like common bile duct stones. A: The novel papillary support was placed in the lower common bile duct (CBD) and papilla; B: Many sediment-like CBD stones flowed from the support under endoscopic aspiration; C: The cholangioscope (Micro-Tech, eyeMax) was inserted into the CBD; D: The single clumpy CBD stone was collected by the basket under cholangioscopy; E: The stone, collected by the basket, was extracted from the CBD and body along with the cholangioscope; F: Multiple clumpy CBD stones were held by the balloon under cholangioscopy; G: One stone, held by the balloon, was extracted from the CBD along with the cholangioscope; H: The novel single dumbbell-style papillary support was removed from the body; I: Papillary morphology immediately after the removal of papillary support.