Extracorporeal shock wave lithotripsy for clearance of bile duct stones resistant to endoscopic extraction

Sackmann, Michael; Holl, Joseph; Sauter, G; Pauletzki, Jürgen; Ritter, Christoph von; Paumgartner, Gustav

doi:10.1067/mge.2001.111042

Cited by 87 publications

(40 citation statements)

References 30 publications

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“…ESWL was reported to be effective in the fragmentation of stones in 60-90% of cases, and the complete stone removal rate was 60-100% with concurrent treatment [187,188]. The level of fragmentation achieved by ESWL differed depending on the type of stone and was reported to be high (92%) for cholesterol stones and low (36%) for calcium bilirubinate stones.…”

Section: Commentarymentioning

confidence: 99%

“…Most reports have described the use of ESWL in conjunction with endoscopic transpapillary treatment or with PTCS therapy [187][188][189]. The purpose of ESWL is to break the stone into smaller fragments, thereby enabling its endoscopic removal.…”

Section: Commentarymentioning

confidence: 99%

“…Thus, in the event of intrahepatic bile duct stenosis, the stone is assumed not to be completely removed even after successful fragmentation, and indications for ESWL should be determined with care. During ESWL, it is often difficult to focus the shock waves on gallstones, and the target is usually located by injection of contrast medium via an ENBD tube or a PTBD tube [187,188].…”

Section: Commentarymentioning

confidence: 99%

See 2 more Smart Citations

Evidence-based clinical practice guidelines for cholelithiasis 2016

Tazuma

Unno²,

Igarashi³

et al. 2016

J Gastroenterol

214

178

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Cholelithiasis is one of the commonest diseases in gastroenterology. Remarkable improvements in therapeutic modalities for cholelithiasis and its complications are evident. The Japanese Society of Gastroenterology has revised the evidence-based clinical practice guidelines for cholelithiasis. Forty-three clinical questions, for four categories-epidemiology and pathogenesis, diagnosis, treatments, and prognosis and complications-were selected, and a literature search was performed for the clinical questions with use of the MEDLINE, Cochrane, and Igaku Chuo Zasshi databases for the period between 1983 and June 2012. The guidelines were developed with use of the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system. This article preferentially describes the clinical management of cholelithiasis and its complications. Following description of the diagnosis performed stepwise through imaging modalities, treatments of cholecystolithiasis, choledocholithiasis, and hepatolithiasis are introduced along with a flowchart. Since there have been remarkable improvements in endoscopic treatments and surgical techniques, the guidelines ensure flexibility in choices according to the actual clinical environment. The revised clinical practice guidelines are appropriate for use by clinicians in their daily practice.

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Section: Commentarymentioning

confidence: 99%

Section: Commentarymentioning

confidence: 99%

Section: Commentarymentioning

confidence: 99%

See 1 more Smart Citation

Evidence-based clinical practice guidelines for cholelithiasis 2016

Tazuma

Unno²,

Igarashi³

et al. 2016

J Gastroenterol

214

178

View full text Add to dashboard Cite

show abstract

“…As was reported cholesterol stones can be easily, but calcium bilirubinate stones hardly fragmented. [6,8] We didn't prefer to apply ESWL in our case since we used pneumatic lithotriptor in percutaneous treatment and didn't know the stone type.…”

Section: Discussionmentioning

confidence: 99%

New surgical technique applied with urological instruments in bilobar multiple hepatolithiasis: Ultra-mini percutaneous hepatolithotomy

Öztürk

Sönmez

Bakdik

et al. 2017

Turkish Journal of Urology

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Intrahepatic bile duct stones may emerge with manifestations as chronic stomach ache, cholestasis, cholangitis, abscess, post-obstructive atrophy and liver cirrhosis presentation may occur. Thus the treatment of symptomatic hepatolithiasis patients should be provided. Different methods such as biliary decompression, endoscopic, percutaneous or open surgery are recommended for the treatment of patients with intrahepatic gallstones. The aim of the treatment is to extract the stones and regain biliary drainage. But the treatment regimen to be applied should be determined after examining the age, performance condition, general condition of the patient and location of the stone carefully. In this case, we presented a young female patient who had many unsuccessful surgical interventions due to coledochal cyst and congenital malformation in bile ducts, had large stones in right and left intrahepatic bile ducts and in whom we provided complete stonefree condition through Ultra-Mini Percutaneous Hepatolithotomy (UM-PHL) using urological instruments.

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“…La litotripsia con ondas de choque extracorpórea (LOCE) puede ser utilizada sin importar el tamaño del cálculo y puede ser de ayuda en pacientes con anormalidades anatómicas como aquellos con cirugías Billroth II o Y de Roux. Los estudios con LOCE para el manejo del cálculo difícil han mostrado una tasa de éxito de 73% a 96% en la fragmentación y remoción completa de los cálculos (16)(17)(18)(19)(20)(21)(22)(23).…”

Section: Manejo Del Cálculo Difícil En La Vía Biliarunclassified

Manejo del cálculo difícil en la vía biliar: Serie de casos

Zuleta

Gutiérrez

Jaramillo

2016

Rev. Colomb. Gastroenterol.

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El 85% a 90% de los cálculos de la vía biliar son manejados de forma exitosa con la técnica endoscópica es- tándar, que incluye esfinterotomía endoscópica combinada con canastilla y/o catéter con balón. Sin embargo, cuando los cálculos son múltiples, de gran tamaño, de localización o forma inusual, o existen alteraciones anatómicas de la vía biliar se hacen refractarios al manejo estándar, lo que obliga la realización de otras modalidades terapéuticas. Los cálculos de gran tamaño o impactados generalmente son manejados con técnicas de fragmentación como la litotripsia mecánica y en casos fallidos con litotripsia electrohidráulica (LEH) o litotripsia láser (LL) guiado por colangioscopia convencional o más recientemente por un sistema de colangioscopia directa llamado Spyglass®. También se puede usar el sistema de dilatación endoscópica papilar con balón grande, que ha demostrado ser útil en el manejo de cálculos grandes y múltiples. En casos con anatomía alterada con dificultad para acceder a la papila, el abordaje preferido para la técnica de frag- mentación es el percutáneo transhepático. En pacientes ancianos y con pobre estado general la colocación de una prótesis biliar es la técnica de elección definitiva mientras mejoran las condiciones del paciente para un tratamiento endoscópico posterior.

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Extracorporeal shock wave lithotripsy for clearance of bile duct stones resistant to endoscopic extraction

Cited by 87 publications

References 30 publications

Evidence-based clinical practice guidelines for cholelithiasis 2016

Evidence-based clinical practice guidelines for cholelithiasis 2016

New surgical technique applied with urological instruments in bilobar multiple hepatolithiasis: Ultra-mini percutaneous hepatolithotomy

Manejo del cálculo difícil en la vía biliar: Serie de casos

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