KMID : 0985520230280030076
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Korean Journal of Pancreas and Biliary Tract 2023 Volume.28 No. 3 p.76 ~ p.80
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Successful Endoscopic Treatment of Difficult Common Bile Duct Stones Using Various Interventional Techniques: A Case Report
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Kim Ah-Reum
Hwang Jae-Chul Yoo Byung-Moo Kim Jin-Hong Yang Min-Jae
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Abstract
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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.
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KEYWORD
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Common bile duct stone, Endoscopic sphincterotomy, Endoscopic papillary balloon dilatation, Mechanical lithotripsy, Electrohydraulic lithotripsy
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