PTH-066 Cholangioscopy-Assisted Electrohydraulic Lithotripsy is Highly Effective in the Management of Difficult Bile Duct Stones
نویسندگان
چکیده
منابع مشابه
Electrohydraulic lithotripsy of large bile duct stones under direct cholangioscopy with a double-balloon endoscope.
The use of a short double-balloon endoscope facilitates the endoscopic removal of bile duct stones in patients with surgically altered anatomy [1,2]. However, the narrow and long working channel of the double-balloon endoscope occasionally makes the procedure difficult and timeconsuming. Herein, we present the case of a patient with a history of hepaticojejunostomy in whom large bile duct stone...
متن کاملTranspapillary cholangioscopy-directed lithotripsy in patients with difficult bile duct stones.
BACKGROUND & AIMS There are limited prospective data and long-term follow-up on cholangioscopy-directed management of difficult bile duct stones. The study objectives were to evaluate the safety and efficacy of cholangioscopy-directed lithotripsy in patients who had failed standard endoscopic retrograde cholangiopancreatography (ERCP) techniques and to determine the stone recurrence rate. MET...
متن کاملIntraductal cholangioscopy-guided electrohydraulic lithotripsy as a rescue therapy for impacted common bile duct stones within a Dormia basket.
The treatment of bile duct stones has evolved from surgery to endoscopic management, which has a success rate of 90% [1]. Impaction of the lithotripsy basket during endoscopic removal of a common bile duct (CBD) stones is seen in up to 5.9% of the cases [2,3] and represents one of the most feared complications; as it usually results in open surgical intervention. We report our experience with a...
متن کاملElectrohydraulic lithotripsy of the common bile duct stone under transnasal direct cholangioscopy.
been recognized as a useful technique for the removal of choledocholithiasis, which is usually performed under the control of a peroral “mother−baby” cholangioscopic system or percutaneous transhepatic choledochoscopy [1,2]. However, the method may be disadvantageous due to its complicated procedure. Recently, the use of an ultraslim endoscope to direct cholangioscopy [3] as well as endoscopic ...
متن کاملTranscatheter 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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ژورنال
عنوان ژورنال: Gut
سال: 2013
ISSN: 0017-5749,1468-3288
DOI: 10.1136/gutjnl-2013-304907.553