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CASE REPORT: TROUBLE‐SHOOTING FOR DIFFICULT CASES OF COMMON BILE DUCT STONES WITH ENDOSCOPIC TREATMENT
Author(s) -
Tanaka Kiyohito,
Yasuda Kenjiro,
Uno Koji,
Kawabata Hideaki,
Kawamura Takuji,
Morikawa Soichiro
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.1443-1661.2010.00964.x
Subject(s) - medicine , impaction , surgery , common bile duct , catheter , extracorporeal shock wave lithotripsy , lithotripsy , bile duct , common bile duct stone
A case of basket catheter impaction was experienced during treatment for a common bile duct (CBD) stone. In cases of large CBD stones, mechanical basket lithotripsy or extracorporeal shock wave lithotripsy (ESWL) is usually carried out. However, once basket catheter impaction occurs, ESWL should be performed in the remaining basket catheter, which is passed through the patient's nose, and further ESWL basket lithotripsy must be carried out at a later time. On one occasion, a mechanical lithotripter was inserted along‐side the conventional basket catheter through the incised papilla. This procedure is a safe and useful method for the clearance of CBD stones that cannot be removed with standard endoscopic procedures due to an impacted basket catheter.