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KMID : 0985520230280030076
Korean Journal of Pancreas and Biliary Tract
2023 Volume.28 No. 3 p.76 ~ p.80
Successful Endoscopic Treatment of Difficult Common Bile Duct Stones Using Various Interventional Techniques: A Case Report
Kim Ah-Reum

Hwang Jae-Chul
Yoo Byung-Moo
Kim Jin-Hong
Yang Min-Jae
Abstract
Clearance of a difficult biliary stone can be obtained using various interventional techniques such as endoscopic sphincterotomy followed by endoscopic papillary large balloon dilation, mechanical lithotripsy, peroral cholangioscopy-assisted intraductal electrohydraulic/laser lithotripsy, temporary plastic stent insertion, percutaneous transhepatic cholangioscopy-guided lithotripsy, and extracorporeal shock wave lithotripsy. We hereby describe the successful endoscopic treatment using various currently available interventional techniques in a case with multiple difficult common bile duct stones. Furthermore, we discuss the countermeasures to overcome the hurdles of each procedure.
KEYWORD
Common bile duct stone, Endoscopic sphincterotomy, Endoscopic papillary balloon dilatation, Mechanical lithotripsy, Electrohydraulic lithotripsy
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