Successful removal of remnant cystic duct stump stone using single-operator cholangioscopy-guided electrohydraulic lithotripsy: two case reports
Cholecystectomy is the best method for treating gallstone diseases. However, 10%–30% of patients who undergo a cholecystectomy continue to complain of upper abdominal pain, dyspepsia, or jaundice—this is referred to as postcholecystectomy syndrome. Cystic duct stump stones are a troublesome cause of...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Gastrointestinal Endoscopy
2023-05-01
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| Series: | Clinical Endoscopy |
| Subjects: | |
| Online Access: | http://www.e-ce.org/upload/pdf/ce-2021-273.pdf |
| _version_ | 1797420936501133312 |
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| author | Sung Hyeok Ryou Hong Ja Kim |
| author_facet | Sung Hyeok Ryou Hong Ja Kim |
| author_sort | Sung Hyeok Ryou |
| collection | DOAJ |
| description | Cholecystectomy is the best method for treating gallstone diseases. However, 10%–30% of patients who undergo a cholecystectomy continue to complain of upper abdominal pain, dyspepsia, or jaundice—this is referred to as postcholecystectomy syndrome. Cystic duct stump stones are a troublesome cause of postcholecystectomy syndrome. Conventionally, surgery is mainly performed to remove cystic duct stump stones. However, repeated surgery can cause complications, such as postoperative bleeding, biliary injury, and wound infection. As an alternative method of surgery, endoscopic retrograde cholangiopancreatography is sometimes used to remove cystic duct stump stones, although the success rate is not high due to technical difficulties. Recently, peroral cholangioscopy, which can directly observe the bile duct, has been suggested as an alternative method. We report two cases in which a cystic duct stump stone was successfully removed via a single-operator cholangioscopy, after failure with an endoscopic retrograde cholangiopancreatography. |
| first_indexed | 2024-03-09T07:09:27Z |
| format | Article |
| id | doaj.art-79648dc84b9846fdae674eb18a8668db |
| institution | Directory Open Access Journal |
| issn | 2234-2400 2234-2443 |
| language | English |
| last_indexed | 2024-03-09T07:09:27Z |
| publishDate | 2023-05-01 |
| publisher | Korean Society of Gastrointestinal Endoscopy |
| record_format | Article |
| series | Clinical Endoscopy |
| spelling | doaj.art-79648dc84b9846fdae674eb18a8668db2023-12-03T09:16:36ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432023-05-0156337538010.5946/ce.2021.2737633Successful removal of remnant cystic duct stump stone using single-operator cholangioscopy-guided electrohydraulic lithotripsy: two case reportsSung Hyeok Ryou0Hong Ja Kim Department of Gastroenterology, Dankook University Hospital, Dankook University College of Medicine, Cheonan, KoreaCholecystectomy is the best method for treating gallstone diseases. However, 10%–30% of patients who undergo a cholecystectomy continue to complain of upper abdominal pain, dyspepsia, or jaundice—this is referred to as postcholecystectomy syndrome. Cystic duct stump stones are a troublesome cause of postcholecystectomy syndrome. Conventionally, surgery is mainly performed to remove cystic duct stump stones. However, repeated surgery can cause complications, such as postoperative bleeding, biliary injury, and wound infection. As an alternative method of surgery, endoscopic retrograde cholangiopancreatography is sometimes used to remove cystic duct stump stones, although the success rate is not high due to technical difficulties. Recently, peroral cholangioscopy, which can directly observe the bile duct, has been suggested as an alternative method. We report two cases in which a cystic duct stump stone was successfully removed via a single-operator cholangioscopy, after failure with an endoscopic retrograde cholangiopancreatography.http://www.e-ce.org/upload/pdf/ce-2021-273.pdfcystic duct stump stoneoral cholangioscopypostcholecystectomy syndromesingle-operator cholangioscopy |
| spellingShingle | Sung Hyeok Ryou Hong Ja Kim Successful removal of remnant cystic duct stump stone using single-operator cholangioscopy-guided electrohydraulic lithotripsy: two case reports Clinical Endoscopy cystic duct stump stone oral cholangioscopy postcholecystectomy syndrome single-operator cholangioscopy |
| title | Successful removal of remnant cystic duct stump stone using single-operator cholangioscopy-guided electrohydraulic lithotripsy: two case reports |
| title_full | Successful removal of remnant cystic duct stump stone using single-operator cholangioscopy-guided electrohydraulic lithotripsy: two case reports |
| title_fullStr | Successful removal of remnant cystic duct stump stone using single-operator cholangioscopy-guided electrohydraulic lithotripsy: two case reports |
| title_full_unstemmed | Successful removal of remnant cystic duct stump stone using single-operator cholangioscopy-guided electrohydraulic lithotripsy: two case reports |
| title_short | Successful removal of remnant cystic duct stump stone using single-operator cholangioscopy-guided electrohydraulic lithotripsy: two case reports |
| title_sort | successful removal of remnant cystic duct stump stone using single operator cholangioscopy guided electrohydraulic lithotripsy two case reports |
| topic | cystic duct stump stone oral cholangioscopy postcholecystectomy syndrome single-operator cholangioscopy |
| url | http://www.e-ce.org/upload/pdf/ce-2021-273.pdf |
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