Abstract
A 54-year-old male visited our hospital as an emergency patient due to severe epigastric pain. About 20 years ago he received distal partial gastrectomy due to duodenal ulcer. Endoscopic cholangiography with straight view scope demonstrated that he had several CBD stones of 10 or more mm in diameter. So he underwent a surgical operation. But a residual CBD stone was found by post operative cholangiography from C tube. The residual stone was successfully removed by EST with straight view scope. It is very difficult with side view scope to approach the afferent loop in the case of partial gastrectomy with Billroth 2 reconstraction. However, a straight view scope may be the tool of the first line for trying EST in such a case.
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