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Successful Removal of a Difficult Common Bile Duct Stone by Percutaneous Transcholecystic Cholangioscopy

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초록

Common bile duct (CBD) stones are prevalent in 11% to 21% of patients with gallstones and can cause various clinicalmanifestations, from biliary colic to biliary sepsis. The treatment of choice is endoscopic retrograde cholangiopancreatography,but approximately 5% to 10% of CBD stones are difficult to remove using these conventional endoscopic methods. Althoughpercutaneous transhepatic cholangioscopy and lithotripsy can be used as an alternative, it can be technically demanding and riskyif the intrahepatic duct is not dilated. We report a case of a large CBD stone that was successfully removed using percutaneoustranscholecystic cholangioscopy.

Abstract

Common bile duct (CBD) stones are prevalent in 11% to 21% of patients with gallstones and can cause various clinicalmanifestations, from biliary colic to biliary sepsis. The treatment of choice is endoscopic retrograde cholangiopancreatography,but approximately 5% to 10% of CBD stones are difficult to remove using these conventional endoscopic methods. Althoughpercutaneous transhepatic cholangioscopy and lithotripsy can be used as an alternative, it can be technically demanding and riskyif the intrahepatic duct is not dilated. We report a case of a large CBD stone that was successfully removed using percutaneoustranscholecystic cholangioscopy.

참고문헌 (8)

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  4. 이재형, "Usefulness of Percutaneous Transhepatic Cholangioscopic Lithotomy for Removal of Difficult Common Bile Duct Stones", Clinical Endoscopy, 46(1), pp.65~70 (2013), 대한소화기내시경학회
  5. Jung GS, "Percutaneous transcholecystic removal of common bile duct stones : case series in 114 patients", Radiology, 290, pp.238~243 (2019)
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관련 논문AI추천

Usefulness of Percutaneous Transhepatic Cholangioscopic Lithotomy for Removal of Difficult Common Bile Duct Stones강대환, 김석헌, 김형욱, 박수범, 이재형, 전웅배, 최철웅대한소화기내시경학회 · Clinical Endoscopy2013 · 제46권 제1호Recent advances in the management of difficult bile-duct stones: a focus on single-operator cholangioscopy-guided lithotripsy동석호, 오치혁대한내과학회 · The Korean Journal of Internal Medicine2021 · 제36권 제2호Bile-Duct Stone Removal under Direct Transnasal Cholangioscopy Using an Ultraslim Upper Endoscope서미선, 이문성, 천영국, 최현종, Hyung Ki Kim, Jong Ho Moon, Young Deok Cho거트앤리버 소화기연관학회협의회 · Gut and Liver2010 · 제4권 제3호Successful Removal of a Large Common Bile Duct Stone by Using Direct Peroral Cholangioscopy and Laser Lithotripsy in a Patient with Severe Kyphosis김태현, 이송이, Byung Hun Lim, Won Gak Heo, Young Jun Kim대한소화기내시경학회 · Clinical Endoscopy2016 · 제49권 제4호Feasibility of Endoscopic Papillary Large Balloon Dilation in Patients with Difficult Bile Duct Stones without Dilatation of the Lower Part of the Extrahepatic Bile DuctAkito Iwasaki, Atsushi Nakajima, Kensuke Kubota, Kentaro Sakamaki, Kunihiro Hosono, Nobuyuki Matsuhashi, Takamitsu Sato, Toshio Fujisawa, Yuji Fujita, Yusuke Sekino거트앤리버 소화기연관학회협의회 · Gut and Liver2017 · 제11권 제1호The Role of Endoscopic Biliary Drainage without Sphincterotomy in Gallstone Patients with Cholangitis and Suspected Common Bile Duct Stones Not Detected by Cholangiogram or Intraductal Ultrasonography궁현정, 김민진, 문정호, 박상흠, 이윤나, 이태훈, 이혜경, 최문환, 최서연, 최현종거트앤리버 소화기연관학회협의회 · Gut and Liver2017 · 제11권 제3호

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