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Recent advances in the management of difficult bile-duct stones: a focus on single-operator cholangioscopy-guided lithotripsy

동석호|오치혁
대한내과학회 (The Korean Association Of Internal Medicine)|2021.03|The Korean Journal of Internal Medicine|제36권 제2호|pp. 235-246|DOI https://doi.org/10.3904/kjim.2020.425

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참고문헌

키워드

Cholangiopancreatographyendoscopic retrogradeCholedocholithiasisCholangioscopyLithotripsy
주제분류내과학

초록

The most effective and the standard treatment for bile duct stones (BDSs) is endoscopic retrograde cholangiopancreatography (ERCP). However, in 10% to 15% of patients with BDSs, the stones cannot be removed by conventional ERCP, which involves endoscopic sphincterotomy followed by balloon or basket extraction. Additional techniques or devices are often necessary to remove these difficult bileduct stones, including endoscopic papillary large balloon dilatation to make a larger papillary opening and/or mechanical lithotripsy to fragment the stones. Advances in cholangioscopy have made possible electrohydraulic or laser lithotripsy under direct cholangioscopic visualization during ERCP. Cholangioscopy- guided lithotripsy could be another good option in the armamentarium of techniques for removing difficult BDSs. Here we review endoscopic techniques based on single-operator cholangioscopy for the management of difficult BDSs.

Abstract

The most effective and the standard treatment for bile duct stones (BDSs) is endoscopic retrograde cholangiopancreatography (ERCP). However, in 10% to 15% of patients with BDSs, the stones cannot be removed by conventional ERCP, which involves endoscopic sphincterotomy followed by balloon or basket extraction. Additional techniques or devices are often necessary to remove these difficult bileduct stones, including endoscopic papillary large balloon dilatation to make a larger papillary opening and/or mechanical lithotripsy to fragment the stones. Advances in cholangioscopy have made possible electrohydraulic or laser lithotripsy under direct cholangioscopic visualization during ERCP. Cholangioscopy- guided lithotripsy could be another good option in the armamentarium of techniques for removing difficult BDSs. Here we review endoscopic techniques based on single-operator cholangioscopy for the management of difficult BDSs.

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관련 논문AI추천

Management of Difficult Bile Duct Stones by Large Balloon, Cholangioscopy, Enteroscopy and EndosonographyHirofumi Kogure, Hiroyuki Isayama, Kazuhiko Koike, Kazunaga Ishigaki, Kei Saito, Minoru Tada, Naminatsu Takahara, Ryunosuke Hakuta, Suguru Mizuno, Tatsuya Sato, Tomotaka Saito, Tsuyoshi Hamada, Yousuke Nakai거트앤리버 소화기연관학회협의회 · Gut and Liver2020 · 제14권 제3호Electrohydraulic Lithotripsy for Difficult Bile Duct Stones under Endoscopic Retrograde Cholangiopancreatography and Peroral Transluminal Cholangioscopy GuidanceAkira Miyano, Atsushi Okuda, Kazuhide Higuchi, Miyuki Imanishi, Nobu Nishioka, Rieko Kamiyama, Takeshi Ogura, Wataru Takagi거트앤리버 소화기연관학회협의회 · Gut and Liver2018 · 제12권 제4호How Should Biliary Stones be Managed?심찬섭거트앤리버 소화기연관학회협의회 · Gut and Liver2010 · 제4권 제2호Utility of Direct Peroral Cholangioscopy Using a Multibending Ultraslim Endoscope for Difficult Common Bile Duct Stones이윤나, 조영덕, 차상우, Lee Tae Hoon, Lee Won Myung, Moon Jong Ho, Park Sang-Heum, Shin Il Sang, Yang Jae Kook거트앤리버 소화기연관학회협의회 · Gut and Liver2022 · 제16권 제4호Evolving Strategies for the Optimal Management of Common Bile Duct StonesChon Hyung Ku, Jo Ik Hyun, Park Chang Hwan거트앤리버 소화기연관학회협의회 · Gut and Liver2025 · 제19권 제5호Cracking Difficult Biliary StonesPhonthep Angsuwatcharakon, Rungsun Rerknimitr대한소화기내시경학회 · Clinical Endoscopy2021 · 제54권 제5호

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