Breaking Up Residual Gallstones With an Ultrasonic Drill

Davies, Hywel; Bean, WilliamJ; Barnes, F.

doi:10.1016/s0140-6736(77)90958-8

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Common Bile Duct Stones1

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1978

1986

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Cited by 16 publications

(2 citation statements)

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“…In 3 of our patients (Cases 1, 2 and 6) dissolution was attempted using heparin, and bile salts were used in 1 (Case 4) with no success. Recently Davies et al (1977) have described a method of breaking down large stones into smaller fragments using an ultrasonic drill, so that the fragments can be removed by the basket method. Burhenne (1976) has reported a collected series of 612 cases of non-operative removal of retained stones from the biliary tree by radiological control, performed without mortality.…”

Section: Discussionmentioning

confidence: 99%

Non-operative removal of retained stones in the common bile duct

Rees

Lawrie

1978

British Journal of Surgery

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Section: Discussionmentioning

confidence: 99%

Non-operative removal of retained stones in the common bile duct

Rees

Lawrie

1978

British Journal of Surgery

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“…The technique ascribed to Burhenne or modications thereof has been much acclaimed (106,108,109). Ultrasonography has been used to fragment common bile duct stones (110).…”

Section: Common Bile Duct Stonesmentioning

confidence: 99%

The Medical Treatment of Gallstones

Bouchier¹

1980

Annu. Rev. Med.

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Interventional Endoscopy

Taylor

1986

Modern Concepts in Gastroenterology

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We report our experience with self-expandable nitinol coil stents (InStent, Inc.) (range 0.5-20).Results: Using EBS alone, the bile duct was cleared in 70 patients (76%). Mechanical lithotripsy was used to remove large stones (15-20 mm) in 13 (15%). Of the 20 EBS "failures" (24%) papillotomy was required to clear the duct in 7 (9%). A pigtail stent was inserted in 13 (15%) to maintain biliary drainage a) as a temporary measure because of doubt about residual stones >15 mm (n = 7, 9%), or b) as a definitive measure in elderly high risk patients with multiple stones >15 mm (n = 6, 6.5%). ERCP was repeated in 14 (16%) for stent removal ± replacement or repeat EBS-duct clearance (n = 4). There was no papillary haemorrhage, while uncomplicated pancreatitis was observed in 4 patients (5%).Conclusion: EBS is a safe and effective sphincter preservation technique for the management of BD stones up to 20 mm in size, which significantly reduces the need for papillotomy.

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Breaking Up Residual Gallstones With an Ultrasonic Drill

Cited by 16 publications

References 7 publications

Non-operative removal of retained stones in the common bile duct

Non-operative removal of retained stones in the common bile duct

The Medical Treatment of Gallstones

Interventional Endoscopy

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