Endoscopic ultrasonography-guided common bile duct stone removal

Artifon, Everson L.A.; Couto, D; Goñi, Silvia

doi:10.4253/wjge.v2.i6.210

Cited by 2 publications

(2 citation statements)

References 4 publications

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“…However, because the low energy ESWL equipped with the shock waves and X-ray radiation can cause damage to the surrounding tissue, it is not preferred in clinical trials. The heat generated by high-frequency vibration in endoscopic ultrasonography can also damage the surrounding tissue, the procedure also needs a lot of circulating water to cool sonophoretic probe, which is susceptible to damage during clinical use [8]. Various types of lasers were also used in clinical trials, but they were less efficient in treating large stones in urinary tract [9].…”

Section: Discussionmentioning

confidence: 99%

Giant urethral calculus in anterior urethral diverticulum: a case report

Sun

Xu²,

Guo

et al. 2019

BMC Urol

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Background In this case report, giant calculus in the urethral diverticulum was found through ureteroscopy investigation, the pneumatic lithotripsy combined with ultrasound lithotripsy (PLCUL) was successfully performed to break down this rare and giant urethral calculus in the diverticulum without open surgery. Case presentation A 82-year-old male presented to the urology department, complaining of frequent urination and dysuria. One giant, dark brown stone (6.5 × 6 × 5.5 cm) was revealed in the diverticulum of the anterior urethra using combination of local ultrasound, pelvic Computer Tomography (CT) and Magnetic Resonance Imaging (MRI). The stone was then successfully broken down via the PLCUL, and the emptied anterior urethral diverticulum was left untreated. In the 18 months’ follow-up, no new calculus was found in urethral tract, anterior diverticula became gradually smaller, eventually disappeared. Conclusion In the treatment of giant calculus in the urethral diverticulum, this case report provides an effective method of lithotripsy in the clinical trials.

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Section: Discussionmentioning

confidence: 99%

Giant urethral calculus in anterior urethral diverticulum: a case report

Sun

Xu²,

Guo

et al. 2019

BMC Urol

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“…Previously, removal of CBD stones under solely EUS guidance has been proposed to minimize the use of fluoroscopy and contrast medium injection. Artifon et al [ 54 ] demonstrated the feasibility of adapting this strategy by showing a comparable EUS-guided successful cannulation of the bile duct with ERCP cannulation. This strategy, though, was performed by an endosonographer with high expertise in both EUS and ERCP.…”

Section: Endoscopic Management For Difficult Cbd Stonementioning

confidence: 99%

Innovation of endoscopic management in difficult common bile duct stone in the era of laparoscopic surgery

Lesmana¹,

Paramitha²,

Lesmana³

2021

WJGE

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Common bile duct (CBD) stone is a common biliary problem, which often requires endoscopic approach as the initial treatment option. Roughly, 7%-12% of the subjects who experience cholecystectomy were subsequently referred to biliary endoscopist for further management. In general, there are three classifications of difficult CBD stone, which are based on the characteristics of the stone (larger than 15 mm, barrel or square-shaped stones, and hard consistency), accessibility to papilla related to anatomical variations, and other clinical conditions or comorbidities of the patients. Currently, endoscopic papillary large balloon dilation (EPLBD) of a previous sphincterotomy and EPLBD combined with limited sphincterotomy performed on the same session is still recommended by the European Society of Gastrointestinal Endoscopy as the main approach in difficult CBD stones with history of failed sphincterotomy and balloon and/or basket attempts. If failed extraction is still encountered, mechanical lithotripsy or cholangioscopy-assisted lithotripsy or extracorporeal shockwave lithotripsy can be considered. Surgical approach can be considered when stone extraction is still failed or the facilities to perform lithotripsy are not available. To our knowledge, conflicting evidence are still found from previous studies related to the comparison between endoscopic and surgical approaches. The availability of experienced operator and resources needs to be considered in creating individualized treatment strategies for managing difficult biliary stones.

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Endoscopic ultrasonography-guided common bile duct stone removal

Cited by 2 publications

References 4 publications

Giant urethral calculus in anterior urethral diverticulum: a case report

Giant urethral calculus in anterior urethral diverticulum: a case report

Innovation of endoscopic management in difficult common bile duct stone in the era of laparoscopic surgery

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