For years, patients receiving a diagnosis of a complex digestive condition—whether an early-stage tumor, a blockage, or a swallowing disorder—were faced with a single, daunting option: traditional open surgery.
At Primax Hospital, we are changing that narrative. We believe your treatment should be as precise and minimally invasive as possible. Recently, our Advanced Endoscopy team achieved what many top hospitals in Delhi termed “impossible,” treating a complex bile duct stone without a single external incision.
A Reversal of Trends: From Delhi to Sonipat
Usually, patients travel from smaller cities to Delhi for advanced medical care. However, the capabilities of the Advanced Endoscopy Program at Primax have reversed this trend.
Recently, a patient named Mrs. Meena from Rohini, Delhi, arrived at Primax Hospital in Sonipat with a critical condition. She had a large stone stuck in her bile duct for over a year. Multiple renowned hospitals in Delhi had attempted to remove it and failed, eventually telling the family that risky open surgery or a referral to AIIMS were their only remaining options.
Instead of surgery, the team at Primax utilized SpyGlass Lithotripsy—a cutting-edge endoscopic technique—to shatter the stone with a laser and remove it in just 30 minutes.
Below is the transcript of the news report documenting this success.
🎥 The Interview: A Case Study in Advanced Endoscopy
Link: https://www.facebook.com/watch/?v=882739844204731
Location: Primax Gastro Institute & Super Speciality Hospital, Sonipat Subject: Successful removal of a complex impacted bile duct stone via SpyGlass Lithotripsy.
Part 1: The Challenge
SNA News Reporter: “By performing surgery on a high-risk case without any incision, Primax Hospital has presented a great example of medical team efficiency. Several hospitals in Delhi had raised their hands, calling this case too challenging. But in Sonipat, this operation was completed successfully with full caution. This is being considered a positive medical achievement for the district.”
Part 2: The Doctor’s Perspective
Reporter: “We are joined by Dr. Nitin Gupta from Primax Hospital. Sir, when did this patient come to you?”
Dr. Nitin Gupta: “This patient came to us two days ago. There was a large stone stuck in her bile duct. It had been stuck for a year, and during that year, they tried to get it removed at two or three places in Delhi, but every time the procedure failed. Every time, they had to remove the stent and put in a new one.”
“When they came to us, they came with the hope: ‘Can we remove this stone via operation?’. However, since we have successfully handled such cases three times before in this hospital, we advised them that we could remove this stone through endoscopy, without any incision—meaning without an operation.”
Reporter: “What is the procedure called?”
Dr. Nitin Gupta: “We performed the procedure using SpyGlass Lithotripsy. This is a very latest, modern technique. In this, we view the stone through endoscopy and use a laser to break it into tiny pieces. Then, we comfortably remove those pieces. The total time taken for this patient was approximately 25 to 30 minutes.”
Reporter: “And the recovery?”
Dr. Nitin Gupta: “The patient regained consciousness half an hour after the procedure. Yesterday, she ate normal light food, and today we are planning to discharge her. No surgical cut was made on the patient. She is currently pain-free, on a normal diet, and under observation on tablets, without injections.”
Part 3: The Family’s Experience
Reporter: “We are with Rajni, the patient’s daughter. Rajni ji, how did you reach Primax?”
Rajni (Patient’s Daughter): “I was referred here. Last year, we got a gallbladder operation done for my mother. After that, a stone remained in the CBD (bile duct), which we found out about a month and a half later. We went to Jaipur Golden Hospital, where they planned an ERCP to remove the stone, but the doctor came out and said, ‘Beta, this won’t happen. You will have to go to AIIMS’. They said the stone is very deep inside, where their equipment couldn’t reach.”
Reporter: “You are from Delhi, yet you came to Sonipat for treatment. Usually, people go from Sonipat to Delhi.”
Rajni: “That was my concern too. I went to many hospitals, but there was no result. They said only a major, complicated operation was possible, which had risks. We were very scared and took a month and a half to decide. But I had trust in Dr. Sandeep and Dr. Nitin. Dr. Nitin said, ‘Don’t be scared, I have done this for an 8-year-old child too, it will be done easily’. They did the ERCP, and finally, the stone is out. The patient is totally fit, and we are very satisfied.”
Understanding the Technology: SpyGlass Lithotripsy
The procedure mentioned in the interview, SpyGlass Lithotripsy, is a cornerstone of our Advanced Endoscopy Program.
The Problem: Invisible Stones
In standard ERCP (Endoscopic Retrograde Cholangiopancreatography), doctors use X-rays to see stones in the bile duct. However, if a stone is too large, too hard, or tucked into a difficult corner (like in Meena ji’s case), standard tools cannot grab it. Historically, this meant open surgery.
The Solution: Direct Visualization
SpyGlass™ is a miniature digital camera that fits inside the standard endoscope. It allows the doctor to travel directly into the bile duct and see the stone with their own eyes. Once the stone is visualized:
- Laser Targeting: A laser fiber is passed through the scope.
- Pulverization: The laser delivers precise energy to break the hard stone into dust or tiny fragments.
- Clearance: The fragments are easily swept out of the duct.
Beyond Stones: A Full Suite of Non-Surgical Solutions
Meena ji’s story is just one example of how Primax Hospital is bridging the gap between diagnostics and surgery. Our “Third Space Endoscopy” program offers solutions for various conditions that previously required major interventions.
1. For Early Cancers: Endoscopic Submucosal Dissection (ESD)
Removing early-stage tumors from the stomach or colon without removing the organ itself. We peel the tumor off the muscle wall from the inside, preserving digestive function.
2. For Swallowing Disorders: Peroral Endoscopic Myotomy (POEM)
A permanent fix for Achalasia (difficulty swallowing). Instead of cutting the muscle through the abdomen, we tunnel through the esophageal lining to cut the tight muscle internally. No external scars, and patients typically go home the next day.
3. For Pancreatic Issues: Endoscopic Ultrasound (EUS)
The “GPS” of the digestive system allows us to drain cysts and biopsy masses from the inside, avoiding the need for external drains and bags.
Conclusion: Why Choose Primax?
As Rajni mentioned in her interview, the decision to choose a hospital often comes down to trust and technology. At Primax, we combine world-class expertise with the latest equipment—like SpyGlass and CO2 insufflation—to ensure that our patients recover faster and with less pain.
Whether you are from Sonipat, Delhi, or beyond, if you have been told you need major surgery for a digestive condition, a second opinion at Primax could change your entire treatment plan.Take the Next Step Your digestive health defines your quality of life. Explore your options with the Primax Advanced Endoscopy Team today.
