Cholangioscopy-directed lithotripsy for a large bile duct stone: the “donut technique”
نویسندگان
چکیده
منابع مشابه
Cholangioscopy-directed lithotripsy for a large bile duct stone: the "donut technique".
Conventionally, choledocholithiasis is managed by endoscopic retrograde cholangiopancreatography (ERCP), and it accounts for at least 50% of the approximately 52000 ERCPs performed in the UK each year [1–5]. Bile duct stone clearance traditionally involves the performance of ERCP with biliary sphincterotomy (or sphincteroplasty), followed by the removal of stones from the biliary tree using an ...
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 کاملDirect cholangioscopy with standard ultra-slim endoscopes for electrohydraulic lithotripsy of an incarcerated large bile duct stone
Ninety percent of patients with intraductal biliary stones are successfully treated with sphincterotomy and subsequent stone extraction. However, technical difficulty increases with stone size and giant stones require fragmenation to facilitate endoscopic removal. For stones too large to be engaged in a basket for mechanical lithotripsy laser and electrohydraulic lithotripsy have been proposed ...
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 کاملElectrohydraulic 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...
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ژورنال
عنوان ژورنال: Endoscopy
سال: 2017
ISSN: 0013-726X,1438-8812
DOI: 10.1055/s-0043-113815