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Whenever there is a big stone that has come to the liver tube, it is difficult to do the ERCP. Now a new thing has come that is called as Spy Glass Endoscopy, that is endoscope will go into the liver tube or the bile duct. That is first we go inside the liver tube and then we see a stone and we can crush those stones. This is called as Spy Glass Endoscopy. This is a new invention of this endoscopy where the laparoscopic removal or the open surgery can be avoided and patient goes home on the same day especially for a large stone in the liver tube, this can be done. This is a new invention that has happened so that patients can be treated without surgery or laparoscopy or open just through endoscopy itself. We go inside with this small endoscope inside the bile tube and we put laser and break open the laser and once these stones have becomes small, then we flush out these stones with a balloon. Sometimes if the stones are too large, then 2 sessions are required. Buy otherwise most of the stones can be dealt with Spy Glass Endoscopy in a single session. That is how Spy Glass has made an important change in the management of big stones in the bile duct offering patients without surgery with endoscopic method