Use of a Fogarty Balloon Catheter to Create Backwall Support and Facilitate Intrahepatic Bile Duct Access During Antegrade Stone Extraction

Mapping Intimacies ◽

10.1093/med/9780199986071.003.0086 ◽

2018 ◽

Author(s):

George Carberry ◽

Orhan Ozkan

Keyword(s):

Bile Duct ◽

Intrahepatic Bile Duct ◽

Balloon Catheter ◽

Stone Extraction ◽

Biliary Calculi ◽

Stone Removal ◽

The Wire ◽

Upper Gastrointestinal

Percutaneous transhepatic stone removal may be indicated in patients with altered upper gastrointestinal anatomy precluding use of endoscopic stone extraction. When biliary calculi are located in a duct adjacent to the duct cannulated percutaneously, obtaining wire and catheter access into the target duct may be difficult due to the acute angles required of the wire and catheter to access the stone-containing duct. One useful method described and illustrated in this chapter to address this issue involves inflating a balloon catheter downstream from the origin of the target duct to deflect a wire into the target duct and to provide backwall support at the apex of the wire for advancement of the stiff balloon catheter. Once the duct containing the biliary calculi is accessed, sweeps of the calculi can be performed.

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Transluminal stone removal from right intrahepatic bile duct using novel basket catheter

Endoscopy ◽

10.1055/a-1073-7511 ◽

2019 ◽

Vol 52 (07) ◽

pp. E223-E224

Author(s):

Takeshi Ogura ◽

Nobu Nishioka ◽

Saori Ueno ◽

Tadahiro Yamada ◽

Kazuhide Higuchi

Keyword(s):

Bile Duct ◽

Intrahepatic Bile Duct ◽

Stone Removal ◽

Basket Catheter

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EUS-guided intrahepatic bile duct stone extraction via choledochoduodenostomy created by a lumen-apposing metal stent

Gastrointestinal Endoscopy ◽

10.1016/j.gie.2015.09.047 ◽

2016 ◽

Vol 83 (4) ◽

pp. 832-833 ◽

Cited By ~ 7

Author(s):

Shuntaro Mukai ◽

Takao Itoi ◽

Takayoshi Tsuchiya ◽

Reina Tanaka ◽

Ryosuke Tonozuka

Keyword(s):

Bile Duct ◽

Bile Duct Stone ◽

Intrahepatic Bile Duct ◽

Metal Stent ◽

Stone Extraction

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Intrahepatic bile duct stone removal through endoscopic ultrasound-guided hepaticogastrostomy using novel basket catheter under digital cholangioscopy guidance

Endoscopy ◽

10.1055/a-0658-0927 ◽

2018 ◽

Vol 50 (10) ◽

pp. E301-E303

Author(s):

Takeshi Ogura ◽

Atsushi Okuda ◽

Akira Miyano ◽

Nobu Nishioka ◽

Kazuhide Higuchi

Keyword(s):

Bile Duct ◽

Endoscopic Ultrasound ◽

Bile Duct Stone ◽

Intrahepatic Bile Duct ◽

Ultrasound Guided ◽

Stone Removal ◽

Basket Catheter

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Optimal Timing of Single-Stage Retrograde Endoscopic Common Bile Duct Stone Removal in Mild and Moderate Acute Cholangitis: A Prospective Trial

10.21203/rs.3.rs-26612/v1 ◽

2020 ◽

Author(s):

Chih-Ming Liang ◽

Yi-Chun Chiu ◽

Lung-Sheng Lu ◽

Cheng-Kun Wu ◽

Fai-Meng Sou ◽

...

Keyword(s):

Bile Duct ◽

Common Bile Duct ◽

Common Bile Duct Stone ◽

Bile Duct Stone ◽

Acute Cholangitis ◽

Single Stage ◽

Complication Rates ◽

Stone Extraction ◽

Endoscopic Retrograde ◽

Stone Removal

Abstract Background: In this study, we aimed to compare the efficacy and safety of removing a single-stage, retrograde, endoscopic common bile duct stone in patients with mild and moderate acute cholangitis associated with choledocholithiasis.Methods: We enrolled 196 endoscopic retrograde cholangiopancreatography (ERCP)-naïve patients diagnosed with acute cholangitis and choledocholithiasis between September 2018 and February 2020 at a single hospital. For eligible patients, single-stage treatment involved stone removal at initial ERCP. Early ERCP was defined as ERCP performed ≤ 72 hours following diagnosis in the emergency room.Results: The final analysis included 138 patients. The success rate of complete stone extraction was similar in patients with mild and moderate cholangitis (88.5% vs. 91.7%; p = 0. 536). Complication rates were also comparable between the two groups. In the moderate cholangitis group, the length of hospitalization declined significantly among patients who underwent early single-stage ERCP (10.6 ± 6.1 vs. 18.7 ± 12.5 days; p = 0.001) compared with patients treated with delayed ERCP. In the multivariate analysis, early ERCP indicated shorter hospitalization times (≤ 10 days) (odds ratio (OR), 7.689; p = 0.030), while endoscopic retrograde biliary drainage, for acute cholangitis only, indicated longer hospitalization times (OR, 0.358; p = 0.030). A stone size larger than 1.5 cm was an independent risk factor for stone extraction failure (OR, 24.507; p = 0.009).Conclusions: Single-stage, retrograde, endoscopic common bile duct stone removal may be safe and effective for patients with mild and moderate cholangitis. The benefit of early single-stage ERCP (≤ 72 hours) was reflected mainly by reduced hospitalization time and costs.Trial registration: ClinicalTrials.gov: NCT03754491.

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Laparotomy-Assisted Direct Cholangioscopy for Bile Duct Stone Removal via an Incision of the Jejunum

Case Reports in Gastroenterology ◽

10.1159/000515371 ◽

2021 ◽

pp. 674-679

Author(s):

Shinya Sugimoto ◽

Toji Murabayashi ◽

Ayako Ichikawa ◽

Keita Sato ◽

Akira Kamei

Keyword(s):

Bile Duct ◽

Biliary Drainage ◽

Epigastric Pain ◽

Hepatic Duct ◽

Intrahepatic Bile Duct ◽

Balloon Catheter ◽

Magnetic Resonance Cholangiopancreatography ◽

Caudate Lobe ◽

Common Hepatic Duct ◽

Intrahepatic Stones

A 77-year-old man presented to our hospital with epigastric pain. He had previously undergone hepatic left lateral segmentectomy, cholangiojejunostomy, and Roux-en-Y reconstruction at 42 years of age for intrahepatic stones and liver abscesses. Abdominal computed tomography and magnetic resonance cholangiopancreatography revealed bile duct stones and intrahepatic bile duct dilation of the caudate lobe. Bile duct drainage for the caudate lobe was necessary; however, the volume of his caudate lobe was very small, making percutaneous transhepatic biliary drainage (PTBD) or endoscopic ultrasound-guided biliary drainage (EUS-BD) difficult. Therefore, we attempted laparotomy-assisted endoscopic biliary drainage. Under general anesthesia, an incision was made on the jejunum approximately 15 cm from the Y-leg anastomosis. An esophagogastroduodenoscope was directly inserted into the common hepatic duct anastomosed with the jejunum. The caudate lobe branch had severe stenosis, and the area upstream of the stenosis was filled with stones, sludge, and pus. The biliary stenosis was dilated using a balloon, and the stones were completely removed using a basket and a balloon catheter. There are various methods of biliary and pancreatic surgery and gastrointestinal reconstruction, and there are cases in which PTBD, EUS-BD, and endoscopic retrograde cholangiopancreatography (ERCP) with an enteroscope are difficult. In such cases, ERCP under laparotomy could be a good treatment option.

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