Digital single-operator video cholangioscopy in treating refractory biliary stones: a multicenter observational study

Bokemeyer, Arne; Gerges, Christian; Lang, Diana; Bettenworth, Dominik; Kabar, Iyad; Schmidt, Hartmut; Neuhaus, Horst; Ullerich, Hansjoerg; Lenze, Frank; Beyna, Tors﻿ten

doi:10.1007/s00464-019-06962-0

Cited by 24 publications

(13 citation statements)

References 34 publications

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“…Loh et al [7] reported a single case of large balloon lithotripsy in order to produce working space for the deployment of the basket. It must be emphasized that cholangioscopy-guided laser or electro-hydraulic lithotripsy also has a stone clearance rate of approximately 70–90%, requires 1 to 2 sessions beyond the index ERCP, and is also not a complication-free procedure, especially with an increased cholangitis rate, although perforations or bleeding, due to the lithotripsy method, could very rarely occur [2, 4, 12, 14].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Biliary Large Balloon Dilation Lithotripsy for Giant and Impacted Stones Removal: A Western Series

Lima

Sanmartin

Onófrio

et al. 2020

Dig Dis

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Background: Endoscopic removal of packed, large, or impacted stones, in which a basket cannot be deployed or is unable to grasp the stone(s), is challenging and inevitably leads to repeated procedures such as stent insertion and extra- or intracorporal lithotripsy. In this study, we describe the results of an alternative stone disintegration technique in a considerable series of patients using an esophageal/pyloric balloon for stone fragmentation or making working space in the bile duct to allow the deployment of the basket, a technique we call endoscopic biliary large balloon lithotripsy. Methods: We retrieved data from 1,429 endoscopic retrograde cholangiopancreatographies (ERCPs) from 2 prospective trials performed between 2014 and 2019. Patients with difficult bile duct stones, in which a balloon dilator up to 15 mm was used to crush or increase the working space parallel to the stones in the common or hepatic duct, were included in the study. Results: From the 1,429 ERCPs, 299 had difficult stones (>1 cm, impacted or multiple stones). Large balloon lithotripsy was employed in 46 cases after endoscopic papillotomy and endoscopic biliary large balloon dilation with failed attempted balloon or basket stone(s) extraction. Failure to clear the bile duct at first ERCP occurred in 4 cases (91.3% of success). Complications were observed in 5 patients (10.8%; 1 perforation, 1 pancreatitis, and 3 bleedings), who were treated conservatively. Conclusions: Large balloon lithotripsy, in order to crush the stones or make working room for baskets or balloons in the bile duct, is an effective, safe, and low cost technique for impacted, packed, or giant bile duct stones.

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Section: Discussionmentioning

confidence: 99%

Endoscopic Biliary Large Balloon Dilation Lithotripsy for Giant and Impacted Stones Removal: A Western Series

Lima

Sanmartin

Onófrio

et al. 2020

Dig Dis

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“…However, this study investigated all kinds of cholangioscopy-guided lithotripsy, including SOC-guided lithotripsy. Recent studies focusing on SOC-guided lithotripsy reported seemingly better efficacy (Table 3) [19,26,27,[29][30][31][32][33][34].…”

Section: (3) Efficacy Of Soc-guided Lithotripsymentioning

confidence: 99%

“…In a recent retrospective study, Bokemeyer et al [29] reported that SOC-guided lithotripsy was successful in 95% of patients, with 15% needing at least two treatment sessions. They concluded that SOC-guided lithotripsy is an excellent rescue approach even in patients with difficult stones in whom previous conventional ERCP had failed.…”

Section: (3) Efficacy Of Soc-guided Lithotripsymentioning

confidence: 99%

Recent advances in the management of difficult bile-duct stones: a focus on single-operator cholangioscopy-guided lithotripsy

Dong

2021

Korean J Intern Med

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The most effective and standard treatment for bile duct stones (BDSs) is endoscopic retrograde cholangiopancreatography (ERCP). However, in 10%-15% of patients with BDSs, the removal of the stones cannot be obtained by conventional ERCP, which involves endoscopic sphincterotomy followed by balloon or basket extraction. Additional techniques or devices are often necessary to remove these "difficult bile duct stones", including endoscopic papillary large balloon dilatation to make larger papillary opening and/or mechanical lithotripsy for the fragmentation of the stones. Advances in cholangioscopy have made electrohydraulic or laser lithotripsy under direct cholangioscopic visualization possible during ERCP. Cholangioscopy-guided lithotripsy could be another good option in the armamentarium of techniques for removing difficult BDSs. The focus of this review is to describe endoscopic techniques using single-operator cholangioscopy in the management of difficult BDSs.

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“…[1][2][3] Direct cholangioscopy has emerged as a cornerstone in the evaluation of indeterminate biliary strictures and in the treatment approach for complex biliary stones. [4][5][6] Currently, no cholangioscopy system on the market can be used via the enteroscopic approach. Thus, these situations usually require a percutaneous approach with the insertion of an endoscope into the bile duct system.…”

mentioning

confidence: 99%

Percutaneous single-operator video cholangioscopy using a novel short disposable endoscope: first clinical case with treatment of a complex biliary stone and inaccessible papilla after Roux-en-Y reconstructive surgery

Neuhaus

Beyna

2021

VideoGIE

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Digital single-operator video cholangioscopy in treating refractory biliary stones: a multicenter observational study

Cited by 24 publications

References 34 publications

Endoscopic Biliary Large Balloon Dilation Lithotripsy for Giant and Impacted Stones Removal: A Western Series

Endoscopic Biliary Large Balloon Dilation Lithotripsy for Giant and Impacted Stones Removal: A Western Series

Recent advances in the management of difficult bile-duct stones: a focus on single-operator cholangioscopy-guided lithotripsy

Percutaneous single-operator video cholangioscopy using a novel short disposable endoscope: first clinical case with treatment of a complex biliary stone and inaccessible papilla after Roux-en-Y reconstructive surgery

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