Extracorporeal shock-wave lithotripsy for retained common bile duct stones

Koçdor, Mehmet Ali; Bora, Seymen; Terzi, Cem; Özman, İbrahim; Tankut, E.

doi:10.3109/13645700009061462

Cited by 6 publications

(2 citation statements)

References 15 publications

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“…Kidney lithotriptors can be used when performing ESWL of bile duct stones, and its efﬁcacy in treating CBD stones has been reported in many studies[ 13 , 14 ]. But for some difficult cases, fragmentation alone may not be adequate because of size and other reasons[ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Outcome of a session of extracorporeal shock wave lithotripsy before endoscopic retrograde cholangiopancreatography for problematic and large common bile duct stones

Tao

Zhang

et al. 2017

WJG

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AIMTo compare the efficacy of a session of extracorporeal shock wave lithotripsy (ESWL) before endoscopic retrograde cholangiopancreatography (ERCP) vs ERCP only for problematic and large common bile duct (CBD) stones.METHODSAdult patients with CBD stones for whom initial ERCP was unsuccessful because of the large size of CBD stones were identiﬁed. The patients were randomized into two groups, an “ESWL + ERCP group” and an “ERCP-only” group. For ESWL + ERCP cases, ESWL was performed prior to ERCP. Clearance of the CBD, complications related to the ESWL/ERCP procedure, frequency of mechanical lithotripsy use and duration of the ERCP procedure were evaluated in both groups.RESULTSThere was no significant difference in baseline characteristics between the two groups. A session of ESWL before ERCP compared with ERCP only resulted in similar outcomes in terms of successful stone removal within the first treatment session (74.2% vs 71.0%, P = 0.135), but a higher clearance rate within the second treatment session (84.4% vs 51.6%, P = 0.018) and total stone clearance (96.0% vs 86.0%, P = 0.029). Moreover, ESWL prior to ERCP not only reduced ERCP procedure time (43 ± 21 min vs 59 ± 28 min, P = 0.034) and the rate of mechanical lithotripsy use (20% vs 30%, P = 0.025), but also raised the clearance rate of extremely large stones (80.0% vs 40.0%, P = 0.016). Post-ERCP complications were similar for the two groups.CONCLUSIONBased on the higher rate of successful stone removal and minimal complications, ESWL prior to ERCP appears to be a safe and effective treatment for the endoscopic removal of problematic and large CBD stones.

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Section: Discussionmentioning

confidence: 99%

Outcome of a session of extracorporeal shock wave lithotripsy before endoscopic retrograde cholangiopancreatography for problematic and large common bile duct stones

Tao

Zhang

et al. 2017

WJG

View full text Add to dashboard Cite

show abstract

“…Since the pioneering efforts of Sauerbruch and colleagues 8 several centers have showed efficacy of ESWL in fragmenting difficult or large CBD calculi 3–5,15,21 . It is a very useful therapeutic option, especially if there are contraindications to conventional surgical management 22 .…”

Section: Discussionmentioning

confidence: 99%