Electrohydraulic lithotripsy and rendezvous nasal endoscopic cholangiography for common bile duct stone

A case report

Koichi Kimura, Kensuke Kudo, Tomoharu Yoshizumi, Takeshi Kurihara, Shohei Yoshiya, Yohei Mano, kazuki takeishi, shinji itoh, Noboru Harada, Toru Ikegami, Tetsuo Ikeda

研究成果: ジャーナルへの寄稿記事

抄録

BACKGROUND In patients with large stones in the common bile duct (CBD), advanced treatment modalities are generally needed. Here, we present an interesting case of a huge CBD stone treated with electrohydraulic lithotripsy (EHL) by the percutaneous approach and rendezvous endoscopic retrograde cholangiography (ERC) using a nasal endoscope. CASE SUMMARY A 91-year-old woman underwent ERC for a symptomatic large CBD stone with a diameter of 50 mm. She was referred to our institution after the failure of lithotomy by ERC, and after undergoing percutaneous transhepatic biliary drainage. We attempted to fragment the stone by transhepatic cholangioscopy using EHL. However, the stones were too large and partly soft clay-like for lithotripsy. Next, we attempted lithotomy with ERC and cholangioscopy by the rendezvous technique using a nasal endoscope and achieved complete lithotomy. No complication was observed at the end of this procedure. CONCLUSION Cholangioscopy by rendezvous technique using a nasal endoscope is a feasible and safe endoscopic method for removing huge CBD stones.

元の言語英語
ページ(範囲)1149-1154
ページ数6
ジャーナルWorld Journal of Clinical Cases
7
発行部数10
DOI
出版物ステータス出版済み - 1 1 2019

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Lithotripsy
Cholangiography
Common Bile Duct
Nose
Endoscopes
N-(2-naphthalene)sulfonyl-DL-tryptophan
Drainage
Therapeutics

All Science Journal Classification (ASJC) codes

  • Medicine(all)

これを引用

Electrohydraulic lithotripsy and rendezvous nasal endoscopic cholangiography for common bile duct stone : A case report. / Kimura, Koichi; Kudo, Kensuke; Yoshizumi, Tomoharu; Kurihara, Takeshi; Yoshiya, Shohei; Mano, Yohei; takeishi, kazuki; itoh, shinji; Harada, Noboru; Ikegami, Toru; Ikeda, Tetsuo.

:: World Journal of Clinical Cases, 巻 7, 番号 10, 01.01.2019, p. 1149-1154.

研究成果: ジャーナルへの寄稿記事

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AU - Kudo, Kensuke

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AU - Kurihara, Takeshi

AU - Yoshiya, Shohei

AU - Mano, Yohei

AU - takeishi, kazuki

AU - itoh, shinji

AU - Harada, Noboru

AU - Ikegami, Toru

AU - Ikeda, Tetsuo

PY - 2019/1/1

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N2 - BACKGROUND In patients with large stones in the common bile duct (CBD), advanced treatment modalities are generally needed. Here, we present an interesting case of a huge CBD stone treated with electrohydraulic lithotripsy (EHL) by the percutaneous approach and rendezvous endoscopic retrograde cholangiography (ERC) using a nasal endoscope. CASE SUMMARY A 91-year-old woman underwent ERC for a symptomatic large CBD stone with a diameter of 50 mm. She was referred to our institution after the failure of lithotomy by ERC, and after undergoing percutaneous transhepatic biliary drainage. We attempted to fragment the stone by transhepatic cholangioscopy using EHL. However, the stones were too large and partly soft clay-like for lithotripsy. Next, we attempted lithotomy with ERC and cholangioscopy by the rendezvous technique using a nasal endoscope and achieved complete lithotomy. No complication was observed at the end of this procedure. CONCLUSION Cholangioscopy by rendezvous technique using a nasal endoscope is a feasible and safe endoscopic method for removing huge CBD stones.

AB - BACKGROUND In patients with large stones in the common bile duct (CBD), advanced treatment modalities are generally needed. Here, we present an interesting case of a huge CBD stone treated with electrohydraulic lithotripsy (EHL) by the percutaneous approach and rendezvous endoscopic retrograde cholangiography (ERC) using a nasal endoscope. CASE SUMMARY A 91-year-old woman underwent ERC for a symptomatic large CBD stone with a diameter of 50 mm. She was referred to our institution after the failure of lithotomy by ERC, and after undergoing percutaneous transhepatic biliary drainage. We attempted to fragment the stone by transhepatic cholangioscopy using EHL. However, the stones were too large and partly soft clay-like for lithotripsy. Next, we attempted lithotomy with ERC and cholangioscopy by the rendezvous technique using a nasal endoscope and achieved complete lithotomy. No complication was observed at the end of this procedure. CONCLUSION Cholangioscopy by rendezvous technique using a nasal endoscope is a feasible and safe endoscopic method for removing huge CBD stones.

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