Electrohydraulic lithotripsy to treat basket impaction of large common bile duct stone

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Laser lithotripsy to treat basket impaction during mechanical lithotripsy of a pancreatic duct stone.

CONTEXT Though uncommon, pancreatic duct stones can cause significant discomfort and morbidity. Endoscopic removal of pancreatic stones may decrease intraductal pressure by augmenting ductal drainage. Endoscopy is shown to be most effective when used early in the course of the disease. Endoscopic methods such as mechanical lithotripsy are often successful in removing the majority of pancreatic ...

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Rescue lithotripsy to treat basket impaction.

The complications of mechanical lithotripsy include a trapped basket surrounding the stone, fracture of the basket wires or the main operation wire, malfunction of the mechanical lithotriptor crank handle, and ductal injury [1,2]. Impaction of a basket with a captured stone inside occurs occasionally not only during mechanical lithotripsy but also during removal of small stones with non-lithotr...

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Successful treatment of an impacted lithotripter basket in the common bile duct with intracorporeal electrohydraulic lithotripsy.

A 62-year-old woman with hypothyroidism and hypertension presented to an outside hospital with abdominal pain. She was found on her initial workup to have choledocholithiasis and was transferred to our institution for endoscopic retrograde cholangiopancreatography (ERCP). The cholangiogram demonstrated common bile duct (CBD) dilatation, with right and left hepatic duct dilatation (▶Fig. 1 a). W...

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impaction of retrieval basket in common bile duct during sphincterotomy and stone retraction

one of the routine methods for diagnosis and treatment of cholelithiasis is endoscopic retrograde cholangiopancreatography. it is an effective method but is associated with some complications (9.8%) which the most common is pancreatitis (5.4%). one of the rare complications is basket impaction in the common bile duct which is treated with different methods. a 58 years male history of laparoscop...

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Electrohydraulic 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 ...

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ژورنال

عنوان ژورنال: VideoGIE

سال: 2018

ISSN: 2468-4481

DOI: 10.1016/j.vgie.2018.01.009