Peroral cholangioscopy with intracorporeal electrohydraulic lithotripsy for choledocholithiasis.
Five patients with choledocholithiasis refractory to standard extraction methods after endoscopic sphincterotomy underwent peroral cholangioscopy with the "mother-daughter" endoscopy system. electrohydraulic lithotripsy of nine stones was performed successfully and without complication, other than minor transient bleeding in one patient. The outer sheath of the "daughter scope" sustained a linear burn in one instance. This method of stone fragmentation is a useful adjunct to achieve ductal clearance in difficult cases.
Hixson
L J
LJ
Division of Gastroenterology, University of Arizona, Tucson.
Fennerty
M B
MB
Jaffee
P E
PE
Pulju
J H
JH
Palley
S L
SL
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016145:Endoscopy, Digestive System; D042882:Gallstones / Q000628:therapy*; D006801:Humans; D008096:Lithotripsy / Q000295:instrumentation / Q000379:methods*; D008297:Male