SavedAdd your journal

Journals / Turkish Journal of Gastroenterology / 2017 / Cilt: 28 - Sayı: 6

Single-operator holmium laser lithotripsy under direct peroral cholangioscopy using an ultra-slim upper endoscope in a patient with a large stone in the common bile duct

Roberto Di MİTRİ
Filippo MOCCİARO
Pages
505–509
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Thus, holmium laser lithotripsy under direct peroral cholangioscopy performed using an ultra-slim endoscope is a feasible and safe endoscopic method for removing large CBD stones

📌 3 Key Takeaways

🎯
Objective & Hypothesis:In patients with complicated stones (e.g., large stones) in the common bile duct (CBD), advanced treatment modalities are generally needed.
📊
Key Findings & Data:An 86-year-old woman underwent endoscopic retrograde cholangiopancreatography for a symptomatic large CBD stone.
💡
Conclusion & Impact:Thus, holmium laser lithotripsy under direct peroral cholangioscopy performed using an ultra-slim endoscope is a feasible and safe endoscopic method for removing large CBD stones
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

In patients with complicated stones (e.g., large stones) in the common bile duct (CBD), advanced treatment modalities are generally needed. Here we present an interesting case of a large CBD stone treated with holmium laser lithotripsy, which was performed under direct peroral cholangioscopy using an ultra-slim endoscope. An 86-year-old woman underwent endoscopic retrograde cholangiopancreatography for a symptomatic large CBD stone. After the failure of sphincterotomy, balloon sphincteroplasty, and mechanical and extracorporeal shock wave lithotripsy, we attempted to fragment the stone by peroral cholangioscopy using the holmium laser system through the operating channel of an ultra-slim endoscope. No complication was observed at the end of this procedure. Thus, holmium laser lithotripsy under direct peroral cholangioscopy performed using an ultra-slim endoscope is a feasible and safe endoscopic method for removing large CBD stones

🔖

Cite This Article

MİTRİ, R. D., MOCCİARO, F. (2017). Single-operator holmium laser lithotripsy under direct peroral cholangioscopy using an ultra-slim upper endoscope in a patient with a large stone in the common bile duct. Turkish Journal of Gastroenterology, Cilt: 28 - Sayı: 6, 505–509. https://ajindex.com/articles/410713

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Freitas ML, Bell RL, Duffy AJ. Choledocholithiasis: evolving standards for diagnosis and management. World J Gastroenterol 2006; 12: 3162-7
  2. Trikudanathan G, Navaneethan U, Parsi MA. Endoscopic management of difficult common bile duct stones. World J Gastroenterol 2013; 19: 165-73
  3. Li G, Pang Q, Zhang X, et al. Dilation-assisted stone extraction: an alternative method for removal of common bile duct stones. Dig Dis Sci 2014; 59: 857-64
  4. Ogura T, Higuchi K. A review of treatment options for bile duct stones. Expert Rev Gastroenterol Hepatol 2016; 10: 1271-8
  5. Adamek HE, Buttmann A, Wessbecher R, Kohler B, Riemann JF. Clinical comparison of extracorporeal piezoelectric lithotripsy (EPL) and intracorporeal electrohydraulic lithotripsy (EHL) in difficult bile duct stones. A prospective randomized trial. Dig Dis Sci 1995; 40: 1185-92
  6. Neuhaus H, Zillinger C, Born P, et al. Randomized study of intracorporeal laser lithotripsy versus extracorporeal shock-wave lithotripsy for difficult bile duct stones. Gastrointest Endosc 1998; 47: 327-34
  7. Lux G, Ell C, Hochberger J, Müller D, Demling L. The first successful endoscopic retrograde laser lithotripsy of common bile duct stones in man using a pulsed neodymium-YAG laser. Endoscopy 1986; 18: 144-5
  8. Cho YD, Cheon YK, Moon JH, et al. Clinical role of frequencydoubled double-pulsed yttrium aluminum garnet laser technology for removing difficult bile duct stones. Gastrointest Endosc 2009; 70: 684-9
  9. Maydeo A, Kwek BE, Bhandari S, Bapat M, Dhir V. Single-operator cholangioscopy-guided laser lithotripsy in patients with difficult biliary and pancreatic ductal stones (with videos). Gastrointest Endosc 2011; 74: 1308-14
  10. Sauer BG, Cerefice M, Swartz DC, et al. Safety and efficacy of laser lithotripsy for complicated biliary stones using direct choledochoscopy. Dig Dis Sci 2013; 58: 253-6
  11. Moon JH, Ko BM, Choi HJ, et al. Intraductal balloon-guided direct peroral cholangioscopy with an ultraslim upper endoscope (with videos). Gastrointest Endosc 2009; 70: 297-302
  12. Moon JH, Ko BM, Choi HJ, et al. Direct peroral cholangioscopy using an ultra-slim upper endoscope for the treatment of retained bile duct stones. Am J Gastroenterol 2009; 104: 2729- 33
  13. Prachayakul V, Aswakul P, Kachintorn U. Common bile duct stone removal with overtube-assisted direct peroral cholangioscopy, without balloon inflation, using an ultra-slim gastroscope following electrohydraulic lithotripsy. Endoscopy 2011; 43: 2