Impaction of a lithotripsy basket during endoscopic lithotomy of a common bile duct stone

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 ...

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...

Successful Removal of A Large Stone from the Common Bile Duct by Endoscopic Papillotomy and Lithotripsy

A forward-pulling technique for complicated Trapezoid basket impaction during retrieval of common bile duct stones.

Although basket impaction rarely occurs during retrieval of common bile duct stones, it is a potentially serious event [1]. The Trapezoid RX wire-guided retrieval basket (Boston Scientific Corp., Marlborough, Massachusetts, USA) has an emergency release feature, whereby the tip is designed to disengage, thereby facilitating basket removal and reducing the risk of impaction [2]. However, we enco...

Endoscopic management of the difficult common bile duct stone.

Over the past two decades, endoscopic sphincterotomy has become the primary therapy for retained or recurrent choledocholithiasis. Nevertheless, in about 10% of patients, complete ductal clearance is not possible using standard balloon and basket techniques. A variety of endoscopically guided lithotripsy devices can substantially improve the chances of extracting stones that are resistant to co...