Harpoon extraction of a common bile duct stone impacted at the ampulla of Vater with needle-knife sphincterotome.
نویسندگان
چکیده
منابع مشابه
Needle knife sphincterotomy for an impacted ampullary stone with difficult selective biliary cannulation.
Endoscopic treatment is highly effective for extracting common bile duct (CBD) stones and is the most common therapeutic method for CBD stones. For patients with CBD stones, the treatment goal is to completely clear the biliary duct. In general, the successful extraction rate using a basket and/or balloon catheter is as high as 90%. However, stones that are resistant to conventional endoscopic ...
متن کاملA large impacted pancreatic duct stone causing acute cholangitis.
causing acute cholangitis A 67-year-old woman with diabetes presented with persistent pain in the right upper quadrant radiating through to her back. Later, she developed a high fever and jaundice. On examination, her epigastrium was soft with mild tenderness but no signs of peritonitis. Abdominal ultrasonography showed a 1.3-cm round hyperechoic lesion with an acoustic shadow at the distal end...
متن کامل[ERCP without fluoroscopy in a pregnant woman with a common bile duct stone].
pattern. She was in her 23rd week of pregnancy. Amagnetic resonance cholangiopancreatography (MRCP) was performed. Cholecystolithiasis and a common bile duct stone were observed (Fig. 1). Endoscopic retrograde cholangiopancreatography (ERCP) was deemed to be the treatment of choice. The patient was informed that as little radiation as possible would be used. However, as she was in her second tr...
متن کاملEndoscopic Papillary Large Balloon Dilation Combined with Guidewire-Assisted Precut Papillotomy for the Treatment of Choledocholithiasis in Patients with Billroth II Gastrectomy
BACKGROUND/AIMS Endoscopic extraction of bile duct stones is difficult and often complicated in patients with a Billroth II gastrectomy. We evaluated a simpler technique to achieve an adequate ampullary opening for the removal of choledocholithiasis using endoscopic papillary large balloon dilation (EPLBD) combined with a guidewire-assisted needle-knife papillotomy. METHODS Sixteen patients w...
متن کاملCase Review of Impacted Bile Duct Stone at Duodenal Papilla: Detection and Endoscopic Treatment
PURPOSE A bile duct stone impacted at the duodenal papilla is an urgent condition that can rapidly lead to either suppurative cholangitis or acute pancreatitis due to almost complete obstruction of the bilio-pancreatic outflow. This study evaluated the clinical characteristics and results of endoscopic treatment for a bile duct stone impacted at the duodenal papilla. MATERIALS AND METHODS For...
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عنوان ژورنال:
- Gastrointestinal endoscopy
دوره 39 1 شماره
صفحات -
تاریخ انتشار 1993