Endoscopic Management of Difficult Common Bile Duct Stones - 19/07/18
Doi : 10.1016/S1052-5157(18)30377-5
John G. Lee, MD a, ⁎, Joseph W. Leung, MD, FRCP b
a From the Oregon Health Sciences University, and Gastroenterology Section, Portland Veterans Affairs Medical Center, Portland, Oregon
b The Department of Medicine and Divison of Gastroenterology, University of California at Davis Medical Center, Davis, California
*Address reprint requests to: John G. Lee, MD, Gastroenterology Section, III-A, Portland VAMC, 3710 SW US Veterans Hospital Road, Portland, OR 97207Gastroenterology Section, III-APortland VAMC3710 SW US Veterans Hospital RoadPortlandOR97207
Résumé |
Widely available endoscopic techniques are successful in clearing bile duct stones in more than 95% of cases. Both electrohydraulic and laser lithotripsy are effective for fragmenting giant stones; however, these methods are not widely available and require direct visual control. Patients who fail mechanical lithotripsy should be considered for referral to specialized centers for electrohydraulic or laser lithotripsy or surgery. In others, long-term endoscopic stenting is a viable alternative.
Le texte complet de cet article est disponible en PDF.© 1996
Elsevier Inc. Tous droits réservés.
Vol 6 - N° 1
P. 43-55 - janvier 1996 Retour au numéro
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