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MANAGEMENT OF THE BILE DUCT STONE: CURRENT SITUATION IN JAPAN
Author(s) -
Yasuda Ichiro
Publication year - 2010
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.2010.00957.x
Subject(s) - medicine , lithotripsy , extracorporeal shock wave lithotripsy , laser lithotripsy , balloon dilation , bile duct , endoscopy , surgery , percutaneous , endoscopic treatment , common bile duct , general surgery , balloon
Endoscopic treatment is now recognized as the standard treatment for common bile duct stones worldwide. Endoscopic treatment routinely involves endoscopic sphincterotomy in most countries including Japan and endoscopic papillary balloon dilation is also a widely used alternative to endoscopic sphincterotomy in Japan. Surgery in any form, including laparoscopic surgery, is mainly performed when endoscopic treatments are unsuccessful or unfavorable. Other therapeutic modalities considered under certain circumstances include lithotripsy under the guidance of percutaneous transhepatic cholangioscopy, peroral cholangioscopy, or enteroscopy; electrohydraulic lithotripsy or laser lithotripsy; and extracorporeal shock‐wave lithotripsy.