Nonsurgical rescue after basket-stone impaction by endoscopic cutting of a metallic lithotripter and laser lithotripsy

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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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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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Percutaneous Transhepatic Release of an Impacted Lithotripter Basket and Its Fractured Traction Wire Using a Goose-Neck Snare: a Case Report

In a patient with a distal common bile duct stone, a fracture of the traction wire of the basket occurring during the performance of mechanical lithotripsy resulted in the impaction of the lithotripter basket with a stone. The impacted lithotripter basket combined with a fracture of the traction wire is a rare complication of endoscopic stone removal. We were able to pull the impacted basket us...

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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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Extracorporeal shock wave lithotripsy allows successful endoscopic removal of a fractured stone basket trapped in the pancreatic duct.

A51-year-oldmanwith chronicpancreatitis presented with recurrent postprandial epigastric pain. Computed tomography (CT) of the abdomen revealed a9-mmpancreaticolith in the main pancreatic duct (MPD) of the head portion. Endoscopic retrograde cholangiopancreatography (ERCP)wasperformed to remove the pancreaticolith. After the pancreatic duct had been cannulated, sphincterotomy was performed. We ...

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ژورنال

عنوان ژورنال: VideoGIE

سال: 2021

ISSN: 2468-4481

DOI: 10.1016/j.vgie.2021.05.018