+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Single-operator cholangioscopy-guided laser lithotripsy in patients with difficult biliary and pancreatic ductal stones (with videos)



Single-operator cholangioscopy-guided laser lithotripsy in patients with difficult biliary and pancreatic ductal stones (with videos)



Gastrointestinal Endoscopy 74(6): 1308-1314



Scant data exist on the utility of the holmium:yttrium-aluminum-garnet laser for the treatment of biliary or pancreatic duct stones. To evaluate the efficacy and safety of fiberoptic probe and catheter system-guided holmium laser lithotripsy of difficult biliary and pancreatic duct stones. Prospective study. Tertiary-care referral center. This study involved 64 patients who underwent holmium laser stone fragmentation. A total of 64 patients (60 bile duct stones, 4 pancreatic duct stones) underwent endoscopic retrograde stone fragmentation with a holmium laser and a fiberoptic probe and catheter system. The inclusion criterion for bile duct stones was stones not amenable to retrieval by mechanical lithotripsy and/or balloon sphincteroplasty or standard techniques. Pancreatic duct stones included in this study were not amenable to removal by stone retrieval basket or balloon. Rates of ductal clearance and procedural complications. All 64 patients had successful fragmentation of biliary and pancreatic duct stones with the holmium laser. Fifty of 60 patients (83.3%) had complete biliary duct clearance after a single session; 10 patients required an additional session. All pancreatic duct stones were fragmented in a single session. Mean duration of ERCP sessions was 45.9 minutes (range 30-90 minutes). Complications were mild and were encountered in 13.5% of patients; fever (n = 3), transient abdominal pain (n = 4), and biliary stricture (n = 1). No comparative treatment group. The fiberoptic probe and catheter system facilitates transpapillary access for holmium laser fragmentation of difficult biliary and pancreatic duct stones. The technique is safe and highly effective for single-setting duct clearance. Complications are minimal and transient.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 036275899

Download citation: RISBibTeXText

PMID: 22136776

DOI: 10.1016/j.gie.2011.08.047


Related references

Outcomes of Single-Operator Cholangioscopy-Guided Lithotripsy in Patients with Difficult Biliary and Pancreatic Stones. Ge Portuguese Journal of Gastroenterology 26(2): 105-113, 2019

Efficacy and safety of novel digital single-operator peroral cholangioscopy-guided laser lithotripsy for complicated biliary stones. Endoscopy International Open 5(1): E54-E58, 2017

Usefulness of single-operator cholangioscopy-guided laser lithotripsy in patients with Mirizzi syndrome and cystic duct stones: experience at a tertiary care center. Gastrointestinal Endoscopy 84(1): 56-61, 2016

Single-operator cholangioscopy in patients requiring evaluation of bile duct disease or therapy of biliary stones (with videos). Gastrointestinal Endoscopy 74(4): 805-814, 2011

Percutaneous transhepatic cholangioscopy and lithotripsy in treating difficult biliary ductal stones: Two case reports. World Journal of Gastrointestinal Endoscopy 11(4): 298-307, 2019

Single-operator cholangioscopy-guided holmium laser lithotripsy: the new-age "rescue" lithotripsy. Gastrointestinal Endoscopy 83(5): 1035-1036, 2016

Randomized trial of cholangioscopy-guided laser lithotripsy versus conventional therapy for large bile duct stones (with videos). Gastrointestinal Endoscopy 87(4): 1050-1060, 2018

Efficacy and Safety of Digital Single-Operator Cholangioscopy for Difficult Biliary Stones. Clinical Gastroenterology and Hepatology 16(6): 918-926.E1, 2018

Direct cholangioscopy-based holmium laser lithotripsy of difficult bile duct stones by using an ultrathin upper endoscope without a separate biliary irrigating catheter. Photomedicine and Laser Surgery 30(1): 31-36, 2012

Treatment of complex biliary stones by cholangioscopy laser lithotripsy in 10 patients. Nederlands Tijdschrift Voor Geneeskunde 154: A2085, 2010

Holmium-yttrium aluminum garnet laser lithotripsy in the treatment of biliary calculi using single-operator cholangioscopy: a multicenter experience (with video). Gastrointestinal Endoscopy 79(2): 344-348, 2014

Tu1415 An International Multicenter Study on Digital Single Operator Cholangioscopy for the Management of Difficult Bile Duct Stones in 271 Patients. Gastrointestinal Endoscopy 85(5): Ab616-Ab617, 2017

Digital Single-Operator Cholangioscopy for Difficult Bile Duct Stones: Out With the Old in With the New?. Clinical Gastroenterology and Hepatology 16(6): 819-820, 2018

Pancreatoscopy-guided intracorporeal laser lithotripsy for difficult pancreatic duct stones: a case series with prospective follow-up (with video). Gastrointestinal Endoscopy 78(1): 179-183, 2013

Sa1320 Efficacy Of Per-Oral Cholangioscopy With Intraductal Lithotripsy For Difficult Biliary Stones: A Systematic Review And Meta-Analysis. Gastrointestinal Endoscopy 87(6): Ab211-Ab212, 2018