Usefulness of single-operator cholangioscopy-guided laser lithotripsy in patients with Mirizzi syndrome and cystic duct stones: experience at a tertiary care center

Gastrointestinal Endoscopy
Suryaprakash BhandariAmit Maydeo

Abstract

ERCP is an established technique for the management of bile duct stones. Large bile duct stones (>1.2 cm) require additional techniques such as mechanical lithotripsy and balloon sphincteroplasty for ductal clearance. The literature on endoscopic management of cystic duct stones (CDSs) and Mirizzi syndrome (MS) is limited. We report our experience with cholangioscopy-assisted extraction of CDSs and MS in patients in whom conventional endoscopic and surgical techniques failed. Between August 2011 and August 2014, 50 patients (15 males) diagnosed with MS (n = 40) and CDSs (n = 10) were recruited for the study. MRCP was the preferred diagnostic modality to outline the biliary anatomy. ERCP was performed by using an Olympus TJF 160/180 duodenoscope (Olympus, Tokyo, Japan). Cholangioscopy was performed by using the Spyglass system (Boston Scientific, Marlborough, Mass). Holmium laser lithotripsy (LL) was performed when conventional stone extraction techniques failed. Cholangioscopy-guided LL was required in 34 of 50 patients (68%) with MS and CDSs. Stone extractions using conventional endoscopy techniques were successful in 8 patients and with surgery in another 8 patients, and these patients were excluded from the final statistical...Continue Reading

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Citations

Sep 15, 2018·Journal of Gastroenterology and Hepatology·Dan-Qing LiuWei-Hui Liu
Nov 24, 2018·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Zheng JinXiaofeng Zhang
Jul 31, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Margherita PizzicannellaSilvana Perretta
Feb 18, 2017·Case Reports in Gastrointestinal Medicine·Jason Deforest Jones, Rishi Pawa
Jul 2, 2020·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Facundo GalettiEduardo Guimarães Hourneaux de Moura
Jun 12, 2020·Revista de gastroenterología de México·A A Baca-ArzagaE Flores-Villalba
Feb 5, 2021·Annals of Medicine and Surgery·Gustavo Salgado-GarzaMario Rodarte-Shade
Apr 3, 2021·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Tomoya OgawaYuki Tanisaka
Dec 16, 2020·VideoGIE : an Official Video Journal of the American Society for Gastrointestinal Endoscopy·Samuel Han, Raj J Shah

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