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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.9
- 수록면
- 660 - 668 (9page)
- DOI
- 10.5946/ce.2020.256-IDEN
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초록· 키워드
오류제보하기
Apart from difficult biliary cannulation, biliary stone removal is considered one of the hurdles in endoscopic retrogradecholangiopancreatography. Generally, simple common bile duct (CBD) stones can be removed either with an extraction balloon or abasket. However, there are difficult stones that cannot be removed using these standard methods. The most difficult stones are largeCBD stones and impacted stones in a tapering CBD. A few decades ago, mechanical lithotripsy was usually required to manage thesestones. At present, endoscopic papillary large balloon dilation (EPLBD) of the biliary orifice has become the gold standard for largeCBD stones up to 1.5 cm. EPLBD can reduce the procedural time by shortening the stone removal process. It can also save the costof the devices, especially multiple baskets, used in mechanical lithotripsy. Unfortunately, very large CBD stones, stones impacted ina tapering CBD, and some intrahepatic duct stones still require lithotripsy. Peroral cholangioscopy provides direct visualization ofthe stone, which helps the endoscopist perform a probe-based lithotripsy either with an electrohydraulic probe or a laser probe. Thistechnique can facilitate the management of difficult CBD stones with a high success rate and save procedural time without significanttechnical complications.
목차
등록된 정보가 없습니다.
참고문헌 (52)
참고문헌 신청
Classen M / 1974 / [Endoscopic sphincterotomy of the papilla of vater and extraction of stones from the choledochal duct(author’s transl)] / Dtsch Med Wochenschr 99:496~497
Kawai K / 1974 / Endoscopic sphincterotomy of the ampulla of Vater / Gastrointest Endosc 20:148~151
McHenry L / 2006 / Difficult bile duct stones / Curr Treat Options Gastroenterol 9:123~132
Manes G / 2019 / Endoscopic management of common bile duct stones : European Society of Gastrointestinal Endoscopy(ESGE)guideline / Endoscopy 51:472~491
Madhoun MF / 2014 / Endoscopic papillary large balloon dilation reduces the need for mechanical lithotripsy in patients with large bile duct stones : a systematic review and meta-analysis / Diagn Ther Endosc 2014:309618
Kawai K / 1974 / Endoscopic sphincterotomy of the ampulla of Vater / Gastrointest Endosc 20:148~151
McHenry L / 2006 / Difficult bile duct stones / Curr Treat Options Gastroenterol 9:123~132
Manes G / 2019 / Endoscopic management of common bile duct stones : European Society of Gastrointestinal Endoscopy(ESGE)guideline / Endoscopy 51:472~491
Madhoun MF / 2014 / Endoscopic papillary large balloon dilation reduces the need for mechanical lithotripsy in patients with large bile duct stones : a systematic review and meta-analysis / Diagn Ther Endosc 2014:309618
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