Endoscopic management of bile duct stones
Journal
Digestive Endoscopy
Journal Volume
22
Journal Issue
SUPPL. 1
Pages
S69-S75
Date Issued
2010
Author(s)
Itoi T.
Abstract
Endoscopic sphincterotomy (EST) and endoscopic papillary balloon dilation (EPBD) are endoscopic techniques that are used for the removal of bile duct stones. Although EST and EPBD have become established techniques, occasionally the management of bile duct stones may be difficult in cases of large stones, multiple stones, and tapering or tortuosity of the distal common bile duct. In such patients, extracorporeal shock wave lithotripsy, mechanical lithotripsy or electrohydraulic lithotripsy, laser lithotripsy, or surgical intervention may be necessary. Furthermore, recently EST plus a large papillary balloon dilation has been popular for the treatment of difficult bile duct stones. Currently, endoscopic lithotripsy for bile duct stones seems to be a promising standard technique. ? 2010 Japan Gastroenterological Endoscopy Society.
Subjects
Bile duct stone; ERCP; Stone removal
SDGs
Other Subjects
balloon catheter; bile duct stone; biliary tract endoscopy; common bile duct stone; disease course; endoscopic papillary balloon dilation; endoscopic papillotomy; endoscopic sphincterotomy; endoscopic therapy; equipment design; extracorporeal lithotripsy; gold standard; guide wire; human; intermethod comparison; laser lithotripsy; review; surgical approach; surgical equipment; treatment planning; endoscopic retrograde cholangiopancreatography; endoscopic sphincterotomy; Gallstones; lithotripsy; procedures; treatment outcome; Cholangiopancreatography, Endoscopic Retrograde; Gallstones; Humans; Lithotripsy; Sphincterotomy, Endoscopic; Treatment Outcome; Cholangiopancreatography, Endoscopic Retrograde; Gallstones; Humans; Lithotripsy; Sphincterotomy, Endoscopic; Treatment Outcome
Type
review