Electrohydraulic Lithotripsy for Difficult Bile Duct Stones under Endoscopic Retrograde Cholangiopancreatography and Peroral Transluminal Cholangioscopy Guidance
Gut and Liver
;
: 457-462, 2018.
Artículo
en Inglés
| WPRIM
| ID: wpr-715586
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.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Pancreatitis
/
Bilis
/
Conductos Biliares
/
Litotricia
/
Proyectos Piloto
/
Colangitis
/
Estudios Prospectivos
/
Estudios Retrospectivos
/
Colangiopancreatografia Retrógrada Endoscópica
/
Resultado del Tratamiento
Tipo de estudio:
Guía de Práctica Clínica
/
Estudio observacional
Límite:
Humanos
Idioma:
Inglés
Revista:
Gut and Liver
Año:
2018
Tipo del documento:
Artículo
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