Endoscopic Management of Difficult Common Bile Duct Stones

Overview

Journal World J Gastroenterol

Publisher Baishideng Publishing Group

Specialty Gastroenterology

Date 2013 Jan 25

PMID 23345939

Citations 37

Authors

Guru Trikudanathan

Udayakumar Navaneethan

Mansour A Parsi

Affiliations

Soon will be listed here.

Abstract

Endoscopy is widely accepted as the first treatment option in the management of bile duct stones. In this review we focus on the alternative endoscopic modalities for the management of difficult common bile duct stones. Most biliary stones can be removed with an extraction balloon, extraction basket or mechanical lithotripsy after endoscopic sphincterotomy. Endoscopic papillary balloon dilation with or without endoscopic sphincterotomy or mechanical lithotripsy has been shown to be effective for management of difficult to remove bile duct stones in selected patients. Ductal clearance can be safely achieved with peroral cholangioscopy guided laser or electrohydraulic lithotripsy in most cases where other endoscopic treatment modalities have failed. Biliary stenting may be an alternative treatment option for frail and elderly patients or those with serious co morbidities.

Citing Articles

Predictors of success of conventional ERCP for bile duct stones and need for single-operator cholangioscopy.

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Endoscopic sphincterotomy vs papillary large balloon dilation vs combination modalities for large common bile duct stones: a network meta-analysis.

Aziz M, Khan Z, Haghbin H, Kamal F, Sharma S, Lee-Smith W Endosc Int Open. 2022; 10(12):E1599-E1607.

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National Survey Regarding the Management of Difficult Bile Duct Stones in South Korea.

Lee Y, Jeon T, Paik W, Ahn D, Chung K, Son B Gut Liver. 2022; 17(3):475-481.

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Is the use of fully covered metal stents effective in the treatment of difficult lithiasis of the common bile duct?.

Grande G, Pigo F, Avallone L, Bertani H, Mangiafico S, Russo S Surg Endosc. 2022; 36(8):5684-5691.

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Endoscopic management of difficult common bile duct stones: Where are we now? A comprehensive review.

Tringali A, Costa D, Fugazza A, Colombo M, Khalaf K, Repici A World J Gastroenterol. 2021; 27(44):7597-7611.

PMID: 34908801 PMC: 8641054. DOI: 10.3748/wjg.v27.i44.7597.

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