Difficult Biliary Stones: A Comprehensive Review of New and Old Lithotripsy Techniques
Biliary stones represent the most common indication for therapeutic endoscopic retrograde cholangiopancreatography. Many cases are successfully managed with biliary sphincterotomy and stone extraction with balloon or basket catheters. However, more complex conditions secondary to the specific featur...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-01-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/58/1/120 |
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| author | Edoardo Troncone Michelangela Mossa Pasquale De Vico Giovanni Monteleone Giovanna Del Vecchio Blanco |
| author_facet | Edoardo Troncone Michelangela Mossa Pasquale De Vico Giovanni Monteleone Giovanna Del Vecchio Blanco |
| author_sort | Edoardo Troncone |
| collection | DOAJ |
| description | Biliary stones represent the most common indication for therapeutic endoscopic retrograde cholangiopancreatography. Many cases are successfully managed with biliary sphincterotomy and stone extraction with balloon or basket catheters. However, more complex conditions secondary to the specific features of stones, the biliary tract, or patient’s needs could make the stone extraction with the standard techniques difficult. Traditionally, mechanical lithotripsy with baskets has been reported as a safe and effective technique to achieve stone clearance. More recently, the increasing use of endoscopic papillary large balloon dilation and the diffusion of single-operator cholangioscopy with laser or electrohydraulic lithotripsy have brought new, safe, and effective therapeutic possibilities to the management of such challenging cases. We here summarize the available evidence about the endoscopic management of difficult common bile duct stones and discuss current indications of different lithotripsy techniques. |
| first_indexed | 2024-03-10T00:59:41Z |
| format | Article |
| id | doaj.art-6d78d71a1aae439aaf885748f13158f5 |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-10T00:59:41Z |
| publishDate | 2022-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-6d78d71a1aae439aaf885748f13158f52023-11-23T14:37:15ZengMDPI AGMedicina1010-660X1648-91442022-01-0158112010.3390/medicina58010120Difficult Biliary Stones: A Comprehensive Review of New and Old Lithotripsy TechniquesEdoardo Troncone0Michelangela Mossa1Pasquale De Vico2Giovanni Monteleone3Giovanna Del Vecchio Blanco4Department of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, ItalyDepartment of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, ItalyDepartment of Anaesthesia, University of Rome Tor Vergata, 00133 Rome, ItalyDepartment of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, ItalyDepartment of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, ItalyBiliary stones represent the most common indication for therapeutic endoscopic retrograde cholangiopancreatography. Many cases are successfully managed with biliary sphincterotomy and stone extraction with balloon or basket catheters. However, more complex conditions secondary to the specific features of stones, the biliary tract, or patient’s needs could make the stone extraction with the standard techniques difficult. Traditionally, mechanical lithotripsy with baskets has been reported as a safe and effective technique to achieve stone clearance. More recently, the increasing use of endoscopic papillary large balloon dilation and the diffusion of single-operator cholangioscopy with laser or electrohydraulic lithotripsy have brought new, safe, and effective therapeutic possibilities to the management of such challenging cases. We here summarize the available evidence about the endoscopic management of difficult common bile duct stones and discuss current indications of different lithotripsy techniques.https://www.mdpi.com/1648-9144/58/1/120endoscopic retrograde cholangiopancreatographyERCPcholangioscopyelectro-hydraulic lithotripsylaser lithotripsyspyglass |
| spellingShingle | Edoardo Troncone Michelangela Mossa Pasquale De Vico Giovanni Monteleone Giovanna Del Vecchio Blanco Difficult Biliary Stones: A Comprehensive Review of New and Old Lithotripsy Techniques Medicina endoscopic retrograde cholangiopancreatography ERCP cholangioscopy electro-hydraulic lithotripsy laser lithotripsy spyglass |
| title | Difficult Biliary Stones: A Comprehensive Review of New and Old Lithotripsy Techniques |
| title_full | Difficult Biliary Stones: A Comprehensive Review of New and Old Lithotripsy Techniques |
| title_fullStr | Difficult Biliary Stones: A Comprehensive Review of New and Old Lithotripsy Techniques |
| title_full_unstemmed | Difficult Biliary Stones: A Comprehensive Review of New and Old Lithotripsy Techniques |
| title_short | Difficult Biliary Stones: A Comprehensive Review of New and Old Lithotripsy Techniques |
| title_sort | difficult biliary stones a comprehensive review of new and old lithotripsy techniques |
| topic | endoscopic retrograde cholangiopancreatography ERCP cholangioscopy electro-hydraulic lithotripsy laser lithotripsy spyglass |
| url | https://www.mdpi.com/1648-9144/58/1/120 |
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