Endoscopic lithotripsy with peroral direct cholangioscopy using a conventional endoscope
Recently,peroral direct cholangioscopy(PDCS) using an ultra-slim endoscope has come into the spotlight.However,the working channel is too small to use various devices for lithotripsy.We report a case of endoscopic lithotripsy with PDCS using a conventional endoscope as a cholangioscope.Computed tomo...
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Published in | World journal of gastrointestinal endoscopy Vol. 5; no. 3; pp. 132 - 134 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
United States
Baishideng Publishing Group Co., Limited
16.03.2013
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Subjects | |
Online Access | Get full text |
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Summary: | Recently,peroral direct cholangioscopy(PDCS) using an ultra-slim endoscope has come into the spotlight.However,the working channel is too small to use various devices for lithotripsy.We report a case of endoscopic lithotripsy with PDCS using a conventional endoscope as a cholangioscope.Computed tomography scan on an 80-year-old female who was admitted with acute cholangitis showed two large stones in the bile duct.Endoscopic retrograde cholangiopancreatography was attempted first.However,mechanical lithotripsy failed because the stone was too large for the basket catheter.Finally,electric hydraulic lithotripsy with PDCS using a conventional endoscope was performed allowed the stones to be cleared completely.In conclusion,PDCS using a conventional endoscope can be an alternative solution for endoscopic lithotripsy for patients with large stones in the dilated bile duct. |
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Bibliography: | So Nakaji,Nobuto Hirata,Toshiyasu Shiratori,Masayoshi Kobayashi,Masami Inase,Department of Gastroenterology,Kameda Medical Center,Kamogawa city,Chiba 296-8602,Japan ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Author contributions: Nakaji S was the main author of the manuscript; other authors revised it critically for important intellectual content. Telephone: +81-4-70922211 Fax: +81-4-70991131 Correspondence to: So Nakaji, MD, Department of Gastroenterology, Kameda Medical Center, 929, Higashi-cho, Kamogawa city, Chiba 296-8602, Japan. nakajisou1978@yahoo.co.jp |
ISSN: | 1948-5190 1948-5190 |
DOI: | 10.4253/wjge.v5.i3.132 |