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ERCP is the standard treatment for common bile duct stones (CBD stones). On the other hand, in approximately 10% of patients with CBD stones, the complete removal of the stones cannot be achieved by conventional ERCP, which performs endoscopic sphincterotomy followed by stone extraction. Additional...

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Bibliographic Details
Published inThe Korean journal of gastroenterology Vol. 80; no. 4; pp. 163 - 168
Main Authors 신정하, Jungha Shin, 오치혁, Chi Hyuk Oh, 동석호, Seok Ho Dong
Format Journal Article
LanguageKorean
Published 대한소화기학회 31.10.2022
Subjects
Cholangiopancreatography
Cholangioscopy
Choledocholithiasis
endoscopic retrograde
Lithotripsy
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Summary:ERCP is the standard treatment for common bile duct stones (CBD stones). On the other hand, in approximately 10% of patients with CBD stones, the complete removal of the stones cannot be achieved by conventional ERCP, which performs endoscopic sphincterotomy followed by stone extraction. Additional advanced and complex procedures are often necessary to remove these “difficult bile duct stones”, including endoscopic papillary large balloon dilatation or mechanical lithotripsy. Advances in cholangioscopy have made electrohydraulic or laser lithotripsy under direct endoscopic visualization possible during ERCP. Cholangioscopy-guided lithotripsy using the SpyGlass DS system could be a better treatment tool for removing difficult stones. The focus of this review was to describe single-operator cholangioscopy in the management of difficult CBD stones. (Korean J Gastroenterol 2022;80:163-168)
Bibliography:Korean Society of Gastroenterology
ISSN:1598-9992