Choledochoscopy-assisted intraductal shock wave lithotripsy

Gastrointestinal Endoscopy Clinics of North America
Jason Bratcher, Franklin Kasmin

Abstract

In more than 90% of choledocholithiasis cases, endoscopic retrograde cholangiopancreatography with sphincterotomy and stone extraction are successful therapeutic options for clearance of the bile duct with the use of a stone retrieval balloon or basket. However, these techniques fail in a small percentage of patients with biliary stones, and advanced techniques for fragmentation must be used. Intraductal shock wave lithotripsy offers the endoscopist a therapeutic option that may be effective despite the difficulties of a large, impacted stone that cannot be captured by a basket, or a stricture that prohibits delivery of a stone beyond it. This article reviews the use of electrohydraulic lithotripsy and laser lithotripsy in the clinical setting.

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Citations

Jan 11, 2011·World Journal of Gastroenterology : WJG·Mansour A Parsi
May 25, 2012·World Journal of Gastrointestinal Endoscopy·Gerasimos StefanidisRam Chuttani
May 17, 2013·World Journal of Gastrointestinal Endoscopy·Arthur HoffmanRalf Kiesslich
Apr 29, 2015·World Journal of Gastroenterology : WJG·Mohan RamchandaniChristopher Khor

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