Fluoroscopically guided laser lithotripsy versus extracorporeal shock wave lithotripsy for retained bile duct stones: a prospective randomised study.

Jakobs, Ralf; Adamek, Henning E.; Maier, M.; Kromer, Meghan; Benz, C.; Martin, W.-R.; Riemann, Jürgen F.

doi:10.1136/gut.40.5.678

Cited by 65 publications

(45 citation statements)

References 19 publications

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“…CBD stone fragmentation rates of 71% to 95% have been reported with ESWL, 121,125,[130][131][132] leading to final ductal clearance rates of 70% to 90%. 121,125,[130][131][132][133][134][135] Most commonly, between 1 and 3 sessions are needed for effective fragmentation, and usually ERC is undertaken within a few days after ESWL to sweep fragments from the duct.…”

Section: Large Bile Duct Stonesmentioning

confidence: 98%

“…121,125,[130][131][132][133][134][135] Most commonly, between 1 and 3 sessions are needed for effective fragmentation, and usually ERC is undertaken within a few days after ESWL to sweep fragments from the duct. Complications have been reported in 10% to 35% of patients undergoing ESWL for choledocholithiasis, including cholangitis, hemobilia, hematuria, and transient arrhythmias.…”

Section: Large Bile Duct Stonesmentioning

confidence: 99%

See 1 more Smart Citation

The role of endoscopy in the management of choledocholithiasis

Maple¹,

Fisher²,

Fukami³

et al. 2011

Gastrointestinal Endoscopy

180

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Section: Large Bile Duct Stonesmentioning

confidence: 98%

Section: Large Bile Duct Stonesmentioning

confidence: 99%

The role of endoscopy in the management of choledocholithiasis

Maple¹,

Fisher²,

Fukami³

et al. 2011

Gastrointestinal Endoscopy

180

View full text Add to dashboard Cite

“…Jakobs and colleagues randomized 34 patients to receive one of the two treatments for patients with retained stones [30]. Initial fragmentation of stone was achieved in 52.4% of patients treated with ESWL and 82.4% of patients treated with ILL.…”

Section: Methods To Decrease the Size Of Stonesmentioning

confidence: 99%

Large bile duct stones

McNabb‐Baltar

Barkun

2014

Ercp

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“…Les dernières générations de lasers sont dotées d'un système de détection de calculs couplés au générateur qui arrête d'émettre lorsque la sonde n'est plus en contact avec le calcul [41,42].…”

Section: Lec Et Licunclassified

Traitement endoscopique des gros calculs de la voie biliaire principale non opérée

et al. 2012

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Le traitement des calculs de la voie biliaire principale (VBP) est endoscopique dans un grand nombre de cas. La sphinctérotomie suivie d'une extraction du ou des calculs est en règle générale suffisante. Il existe cependant des situations d'échecs, qui vont nécessiter d'utiliser d'autres techniques pour éviter la chirurgie. Il importe de connaître les critères prédictifs d'échec. Ceux-ci sont principalement la taille du calcul, leur nombre, l'impaction dans le sphincter, et le diamètre de la VBP inférieur à celui du calcul. Dans de telles situations, la première technique consiste à réaliser une lithotritie mécanique (LM) qui permet l'extraction des calculs difficiles dans plus de 90 % des cas. En cas d'échec, d'autres alternatives sont possibles. La plus simple consiste à mettre une ou plusieurs prothèses plastiques, qui, lorsqu'elles sont laissées en place, entraînent souvent une fragmentation des calculs, voire leur élimination. La deuxième technique, plus récente, est la macrodilatation du sphincter d'Oddi. Celle-ci est effectuée avec un ballon dont le diamètre est adapté à celui du calcul (12 à 20 mm). Enfin, une lithotritie intracorporelle (électrohydraulique ou laser) peut être réalisée, en centre expert le plus souvent. Pour citer cette revue : Acta Endosc. 42 (2012). Mots clés Cholangiopancréatographie rétrograde endoscopique (CPRE) · Lithiase de la voie biliaire principale · Lithotritie · Macrodilatation du sphincter d'OddiAbstract The management of large biliary stones often requires endoscopic therapy. It includes sphincterotomy followed by stone extraction, which generally leads to a complete bile duct clearance. However, these techniques may fail because of stone size and number, stone impaction, and a tapered lower bile duct. In such situations, a mechanical lithotripsy has to be performed which enables a stone fragmentation and an extraction in more than 90%. When lithotripsy fails, stent insertion allows stone fragmentation which facilitates their extraction at a second ERCP. Endoscopic papillary large balloon dilation has to be performed at a diameter related to the stone diameter (usually 12 to 20 mm) with excellent results and few complications. At last, intraductal lithotripsy (electrohydraulic or laser), are efficient but require experienced centers. To cite this journal: Acta Endosc. 42 (2012).

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Fluoroscopically guided laser lithotripsy versus extracorporeal shock wave lithotripsy for retained bile duct stones: a prospective randomised study.

Cited by 65 publications

References 19 publications

The role of endoscopy in the management of choledocholithiasis

The role of endoscopy in the management of choledocholithiasis

Large bile duct stones

Traitement endoscopique des gros calculs de la voie biliaire principale non opérée

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