Management of Difficult Bile Duct Stones by Large Balloon, Cholangioscopy, Enteroscopy and Endosonography.
Adult
Aged
Balloon Enteroscopy
/ instrumentation
Biliary Tract Surgical Procedures
/ instrumentation
Catheterization
/ instrumentation
Cholangiopancreatography, Endoscopic Retrograde
/ instrumentation
Choledocholithiasis
/ surgery
Dilatation
/ instrumentation
Endosonography
/ methods
Female
Gallstones
/ surgery
Humans
Lithotripsy
/ instrumentation
Male
Middle Aged
Treatment Outcome
Cholangiopancreatography
Cholangioscope
Choleodcholithiasis
Endosonography
Lithotripsy
endoscopic retrograde
Journal
Gut and liver
ISSN: 2005-1212
Titre abrégé: Gut Liver
Pays: Korea (South)
ID NLM: 101316452
Informations de publication
Date de publication:
15 05 2020
15 05 2020
Historique:
received:
08
05
2019
revised:
19
07
2019
accepted:
28
07
2019
pubmed:
5
10
2019
medline:
1
5
2021
entrez:
5
10
2019
Statut:
ppublish
Résumé
Endoscopic management of bile duct stones is now the standard of care, but challenges remain with difficult bile duct stones. There are some known factors associated with technically difficult bile duct stones, such as large size and surgically altered anatomy. Endoscopic mechanical lithotripsy is now the standard technique used to remove large bile duct stones, but the efficacy of endoscopic papillary large balloon dilatation (EPLBD) and cholangioscopy with intraductal lithotripsy has been increasingly reported. In patients with surgically altered anatomy, biliary access before stone removal can be technically difficult. Endotherapy using two new endoscopes is now utilized in clinical practice: enteroscopy-assisted endoscopic retrograde cholangiopancreatography and endoscopic ultrasound-guided antegrade treatment. These new approaches can be combined with EPLBD and/or cholangioscopy to remove large bile duct stones from patients with surgically altered anatomy. Since various endoscopic procedures are now available, endoscopists should learn the indications, advantages and disadvantages of each technique for better management of bile duct stones.
Identifiants
pubmed: 31581389
pii: gnl19157
doi: 10.5009/gnl19157
pmc: PMC7234877
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
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