دورية أكاديمية
[Treatment of complex biliary stones by cholangioscopy laser lithotripsy in 10 patients].
| العنوان: | [Treatment of complex biliary stones by cholangioscopy laser lithotripsy in 10 patients]. |
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| عنوان ترانسليتريتد: | Cholangioscopische behandeling van complexe galwegstenen: laserlithotripsie bij 10 patiënten. |
| المؤلفون: | Verdonk RC; Universitair Medisch Centrum, Groningen, Afd. Maag-, Darm- en Leverziekten, the Netherlands., de Ruiter AJ, Weersma RK |
| المصدر: | Nederlands tijdschrift voor geneeskunde [Ned Tijdschr Geneeskd] 2010; Vol. 154, pp. A2085. |
| نوع المنشور: | English Abstract; Journal Article |
| اللغة: | Dutch; Flemish |
| بيانات الدورية: | Publisher: Vereniging NTvG Country of Publication: Netherlands NLM ID: 0400770 Publication Model: Print Cited Medium: Internet ISSN: 1876-8784 (Electronic) Linking ISSN: 00282162 NLM ISO Abbreviation: Ned Tijdschr Geneeskd Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2017?-: Amsterdam : Vereniging NTvG Original Publication: Houten : Bohn Stafleu van Loghum |
| مواضيع طبية MeSH: | Gallstones/*therapy , Lithotripsy, Laser/*methods, Adult ; Aged ; Aged, 80 and over ; Cholangiopancreatography, Endoscopic Retrograde/adverse effects ; Cholangiopancreatography, Endoscopic Retrograde/methods ; Female ; Humans ; Lithotripsy, Laser/adverse effects ; Male ; Middle Aged ; Prospective Studies ; Treatment Outcome |
| مستخلص: | Objective: To describe the efficacy and safety of laser lithotripsy during peroral cholangioscopy for the treatment of complex biliary stones. Design: Prospective, descriptive study. Methods: Data were prospectively collected on all patients referred over a period of two years for peroral cholangioscopic laser lithotripsy following failure of endoscopic retrograde cholangiopancreatography (ERCP). The efficacy and safety of the treatment were studied. Results: Eleven patients were treated. ERCP with stone removal and mechanical lithotripsy had been undertaken previously in these patients, but was unsuccessful. In one patient, lithotripsy was not performed because the endoscope could not be positioned satisfactorily. This patient was operated. Ten patients were treated with laser lithotripsy. In 9 of the 10 patients lithotripsy led to complete removal of all stone. In one patient the stone extraction partially failed. One complication occurred, a rupture of the common bile duct which could be managed conservatively by a stent. Conclusion: Peroral cholangioscopy guided laser lithotripsy of biliary stones appears to be a safe and effective treatment in patients in whom initial ERCP and mechanical lithotripsy is unsuccessful. |
| تواريخ الأحداث: | Date Created: 20100923 Date Completed: 20101015 Latest Revision: 20101104 |
| رمز التحديث: | 20221213 |
| PMID: | 20858298 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1876-8784 |
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