Through-the-Scope Mechanical Lithotripsy of Difficult Common Bile Duct Stones

 
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2007 (EN)

Through-the-Scope Mechanical Lithotripsy of Difficult Common Bile Duct Stones (EN)

Maria Arvaniti, C. Kaitarzis, A. Papagiannis,, Daphni Katsiba, Maria Kalomenopoulou,
G. Paroutoglou, S. Dimiropoulos, P. Tsolkas, E. Kamperis,, P. Katsinelos, I. Pilpilidis,
., G. Fotiadis, I. Vasiliadis

SUMMARY Over a 31 month period (October 1999 – April 2002), 342 patients were diagnosed at endoscopic retrograde cholangiography to have common bile duct stones. All patiens underwent sphincterotomy and attempted extraction by Dormia basket or balloon catheter. This was successful in 305 patients (89.2%). The remaining 37 patients with difficult stones underwent through the scope mechanical lithotripsy. The mean stone size was 16.7 mm (range 1.1–2.2). Twenty–seven patients required one session of lithotripsy and eight patients two sessions. The stones were successfully crushed by the BML system and the ducts cleared in 35 patients (94.6%). In two patients, mechanical lithotripsy failed because the stones could not be engaged in the lithotriptor basket. There were no serious procedure–related complications. Key-words: Mechanical Lithotripsy, Difficult Common Bile Duct Stones (EN)

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English

2007-03-19


Hellenic Society of Gastroenterology (EN)

1792-7463
1108-7471
Annals of Gastroenterology; Volume 16, No 1 (2003) (EN)




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