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Endoscopic duodeno choledochal fistulization edcf using microwave technique a trial of a new endoscopic therapy for choledocholithiasis



Endoscopic duodeno choledochal fistulization edcf using microwave technique a trial of a new endoscopic therapy for choledocholithiasis



Japanese Archives of Internal Medicine 33(11): 379-386



We have attempted to apply a new therapy, endoscopic duodeno-choledochal fistulization (EDCF), using microwave technique for biliary obstruction caused by choledocholithiasis. Six patients with choledocholithiasis were treated with these procedures. In four patients, stones were removed through the fistulas. In two cases, however, discharge of the stones was not successful. As to complication acute cholangitis was observed only in one case. Diameter of the common bile duct reduced from 14.6 .+-. 1.94 mm to 11.1 .+-. 2.54 mm in a week regardless of stone removal. In addition, significant decrease of alkaline phosphatase and gamma-glutamyltranspeptidase was observed within 7 days after EDCF (p < 0.01, p < 0.05, n = 10). We concluded that EDCF was applicable as an effective non-surgical therapy for the common bile duct stones especially in the patients considered to be poor risk for surgery.

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Accession: 005359213

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