990 ANTEGRADE PANCREATOSCOPY WITH ELECTROHYDRAULIC LITHOTRIPSY VIA AN EUS-GUIDED PANCREATICOGASTROSTOMY FOR THE REMOVAL OF OBSTRUCTING PANCREATIC DUCT STONES
نویسندگان
چکیده
منابع مشابه
Transcatheter pancreatoscopy-guided electrohydraulic lithotripsy for large pancreatic duct stones.
A 61-year-old man was admitted for treatment of alcohol-related chronic pancreatitis with recurrent acute exacerbations. Computed tomography (CT) scanning showed a large cluster of stones in the main pancreatic duct of the head of the pancreas and upstream duct dilatation (▶Fig. 1). We used endoscopic retrograde cholangiopancreatography (ERCP) and pancreatoscopy with electrohydraulic lithotrips...
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A 51-year-old man with abdominal pain was admitted for treatment of alcoholrelated chronic pancreatitis with acute exacerbation. The acute episode was caused by a large impacted stone of 1.1cm in diameter within the proximal main pancreatic duct (●" Fig.1). Stricture of the duct downstream from the stone was noted on initial endoscopic retrograde cholangiopancreatography (ERCP) (●" Fig.2). A st...
متن کاملEndoscopic management of chronic pancreatitis with a fully covered self-expanding metal stent and laser lithotripsy.
The patient was a 58-year-old man with a long-standing history of alcohol abuse and chronic pancreatitis leading to multiple hospitalizations. He continued to have pain despite conservative management, pain control, and alcohol cessation. His chronic pancreatitis and pancreatic duct (PD) stones resulted in a tight PD stricture at the head of the pancreas. Multiple prior attempts at conventional...
متن کاملPeroral transhepatic cholangioscopy-guided electrohydraulic lithotripsy via an endoscopic ultrasonography-guided hepaticogastrostomy route for bile duct stones in a patient with Roux-en-Y anatomy.
Endoscopic ultrasonography (EUS)-guided antegrade bile duct stone treatment has been developed for patients with altered anatomy [1–5]. Here, we present a case of successful bile duct stone treatment via an EUS-guided hepaticogastrostomy (EUS-HGS) route in the setting of prior Roux-en-Y reconstruction. Direct peroral transhepatic cholangioscopyguided electronic hydraulic lithotripsy (EHL) and e...
متن کاملLarge impacted pancreatic stone removed with single-operator pancreatoscopy and electrohydraulic lithotripsy.
A 59-year-old man had chronic calcific pancreatitis secondary to alcohol and smoking. He had acute flares of pain and elevation of serum pancreatic enzymes. A CT scan revealed features of chronic pancreatitis, including large pancreatic duct calculi in the dilated main duct. On previous ERCP examination 2 months prior, removal of a 15-mm impacted pancreatic stone near the genu was not attempted...
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ژورنال
عنوان ژورنال: Gastrointestinal Endoscopy
سال: 2020
ISSN: 0016-5107
DOI: 10.1016/j.gie.2020.03.651