P.05.55 EFFICACY AND SAFETY OF ENDOSCOPIC PAPILLARY LARGE BALLOON DILATION AS FIRST-LINE EXTRACTION TECHNIQUE IN PATIENTS WITH LARGE COMMON BILE DUCT STONES: A SINGLE-CENTER, SINGLE-OPERATOR EXPERIENCE

2019 ◽  
Vol 51 ◽  
pp. e207
Author(s):  
G. Aragona ◽  
C. Calzolari ◽  
G. Comparato ◽  
M. Di Stasi ◽  
F. Giangregorio ◽  
...  
Medicina ◽  
2022 ◽  
Vol 58 (1) ◽  
pp. 120
Author(s):  
Edoardo Troncone ◽  
Michelangela Mossa ◽  
Pasquale De Vico ◽  
Giovanni Monteleone ◽  
Giovanna Del Vecchio Blanco

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.


2020 ◽  
Vol 59 (7) ◽  
pp. 891-899 ◽  
Author(s):  
Toji Murabayashi ◽  
Yoshihide Kanno ◽  
Shinsuke Koshita ◽  
Takahisa Ogawa ◽  
Hiroaki Kusunose ◽  
...  

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