Electrohydraulic Lithotripsy for Difficult Bile Duct Stones under Endoscopic Retrograde Cholangiopancreatography and Peroral Transluminal Cholangioscopy Guidance
Gut and Liver
; : 457-462, 2018.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-715586
Biblioteca responsável:
WPRO
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:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pancreatite
/
Bile
/
Ductos Biliares
/
Litotripsia
/
Projetos Piloto
/
Colangite
/
Estudos Prospectivos
/
Estudos Retrospectivos
/
Colangiopancreatografia Retrógrada Endoscópica
/
Resultado do Tratamento
Tipo de estudo:
Guia de prática clínica
/
Estudo observacional
Limite:
Humanos
Idioma:
Inglês
Revista:
Gut and Liver
Ano de publicação:
2018
Tipo de documento:
Artigo