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Electrohydraulic Lithotripsy for Difficult Bile Duct Stones under Endoscopic Retrograde Cholangiopancreatography and Peroral Transluminal Cholangioscopy Guidance
- Source :
- Gut and Liver
- Publication Year :
- 2018
- Publisher :
- Editorial Office of Gut and Liver, 2018.
-
Abstract
- Background/Aims Electrohydraulic lithotripsy (EHL) under endoscopic retrograde cholangiopancreatography (ERCP) guidance can be an option to treat difficult stones. Recently, a digital, single-operator cholangioscope (SPY-DS) has become available. Peroral transluminal cholangioscopy (PTLC) using SPY-DS has also been reported. In this retrospective study, the technical feasibility and clinical effectiveness of EHL for difficult bile duct stones under ERCP guidance and under PTLC guidance was examined. Methods In this pilot study, patients with difficult bile duct stones between July 2016 and July 2017 were retrospectively enrolled. Results Forty-two consecutive patients underwent EHL using a SPY-DS; 34 patients underwent EHL under ERCP guidance, and the other 8 patients underwent EHL under PTLC guidance. Median procedure time was 31 minutes (range, 19 to 66 minutes). The median number of EHL sessions was 1 (range, 1 to 2), and that of ERCP sessions was also 1 (range, 1 to 3). The rate of complete stone clearance was 98% (41/42). Adverse events such as cholangitis and acute pancreatitis were seen in 14% (6/42), which could be treated conservatively. Conclusions EHL using SPY-DS was technically feasible, not only under ERCP guidance, but also PTLC guidance. A prospective clinical study of EHL using SPY-DS is needed.
- Subjects :
- Male
Natural Orifice Endoscopic Surgery
medicine.medical_specialty
Stone clearance
Clinical effectiveness
Common bile duct
Pilot Projects
Gallstones
Choledcholithiasis
Electrohydraulic lithotripsy
03 medical and health sciences
0302 clinical medicine
Lithotripsy
medicine
Humans
endoscopic retrograde
Aged
Retrospective Studies
Aged, 80 and over
Cholangiopancreatography, Endoscopic Retrograde
Mouth
Endoscopic retrograde cholangiopancreatography
Hepatology
medicine.diagnostic_test
Bile duct
business.industry
Gastroenterology
Retrospective cohort study
Middle Aged
medicine.disease
Surgery
Cholangiopancreatography
Biliary Tract Surgical Procedures
medicine.anatomical_structure
Treatment Outcome
Endoscopic ultrasound intervention
030220 oncology & carcinogenesis
Acute pancreatitis
Feasibility Studies
030211 gastroenterology & hepatology
Original Article
Female
business
Subjects
Details
- Language :
- English
- ISSN :
- 20051212 and 19762283
- Volume :
- 12
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Gut and Liver
- Accession number :
- edsair.doi.dedup.....849ea6c619fa34dc9bdbd1034f8ab7eb