Role of Direct Peroral Cholangioscopy in Difficult Biliary Stones: A Case Report
نویسندگان
چکیده
منابع مشابه
Peroral cholangioscopy: use of a Roth Net retriever for difficult biliary stones.
Bile duct stones are routinely removed during endoscopic retrograde cholangiopancreatography (ERCP) with biliary sphincterotomy, using standard balloon or basket extraction techniques. However, in approximately 10%–15% of patients, bile duct stonesmay be difficult to remove owing to challenging access to the bile duct, large bile duct stones (>15mm in diameter), intrahepatic stones, or impacted...
متن کاملA novel technique for peroral direct cholangioscopy.
Article Direct cholangioscopy has been possible since the 1970’s (1) but reliable intubation of the common bile duct (CBD) and second order ducts has limited the applicability of the technique. One of the limitations to accessing the ducts is the acute angulation between the duodenum and the CBD (2). Various methods have been employed to access the ducts including mother-and-baby endoscopes and...
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Biliary ascariasis is a common disease in certain geographical areas of the world. The adult form of the worm usually lives in the human intestine. Biliary complications due to ascaris infestation are uncommon but are becoming an important clinical problem, as fatal cases have been reported in the literature. Many authors have recommended traditional surgical treatment for removal of the w...
متن کاملPeroral direct cholangioscopy for recurrent bile duct stones, using an ultrathin upper endoscope.
are rare, and occur when there is bile stasis and a nidus for stone conglomeration [1,2]. Endoscopic examination of the bile duct has traditionally been difficult and is not routinely performed. We report the first case of management of recurrent bile duct stones using an ultrathin upper endoscope. A 54-year-old woman presented for endoscopic retrograde cholangiography (ERC) for removal of bili...
متن کاملSuccessful biliary drainage with peroral direct cholangioscopy in a patient with Roux-en-Y hepaticojejunostomy for congenital biliary dilatation.
The diagnostic and therapeutic effectiveness of combined double-balloon endoscopy with a short endoscope and peroral direct cholangioscopy with an ultraslim endoscope in patients who have altered gastrointestinal anatomy has been demonstrated [1–5]. We describe successful biliary drainage with a short double-balloon endoscope and peroral direct cholangioscopy in a patient who had cholangitis af...
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ژورنال
عنوان ژورنال: GE - Portuguese Journal of Gastroenterology
سال: 2018
ISSN: 2341-4545,2387-1954
DOI: 10.1159/000485841