Electrohydraulic lithotripsy with peroral choledochoscopy.

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Electrohydraulic lithotripsy with peroral choledochoscopy.

OBJECTIVE To determine the efficacy of peroral electrohydraulic lithotripsy performed with an extra large duodenoscope (outside diameter 14.8 mm) and a choledochoscope with a diameter of 4.1 mm (Olympus "mother and baby" endoscope system) in the removal of very large stones from the common bile duct. DESIGN Prospective study of patients with giant stones in the common bile duct that were resi...

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Peroral cholecystoscopy with electrohydraulic lithotripsy for treatment of symptomatic cholelithiasis in end-stage liver disease (with videos).

BACKGROUND Patients with end-stage liver disease have an increased risk of symptomatic gallstone disease, as well as complications associated with cholecystectomy. We hypothesized that peroral transpapillary cholecystoscopy with electrohydraulic lithotripsy of gallbladder stones is technically feasible and beneficial in patients who are high operative risks. DESIGN Observational, descriptive....

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Peroral pancreatoscopy with electrohydraulic lithotripsy for pancreatic duct stone after placement of fully covered self-expandable metal stent.

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...

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Choledochal cyst: a future indication for peroral choledochoscopy?

A 31-year-old man with no medical history was admitted to the emergency department following 3 days of abdominal pain and jaundice. The laboratory workup revealed elevated levels of bilirubin (9.2mg/dL; direct 6.5mg/dL) and C-reactive protein (30mg/dL). Transabdominal ultrasound showed dilatation of the common bile duct (10mm), thickened gallbladder wall with sludge, but no evidence of choledoc...

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Electrohydraulic lithotripsy of upper ureteral calculi with semirigid ureteroscope.

Forty-three patients with single ureteral calculi located above the pelvic brim were treated by electrohydraulic lithotripsy (EHL) using a semirigid mini-ureteroscope. Of the 43 calculi, 36 (84%) were fragmented in one procedure. Six calculi (14%) were pushed back to the renal pelvis and treated successfully by complementary extracorporeal shockwave lithotripsy (SWL). The total success rate of ...

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ژورنال

عنوان ژورنال: BMJ

سال: 1989

ISSN: 0959-8138,1468-5833

DOI: 10.1136/bmj.299.6699.595