Removal of common bile duct stones by the combination of percutaneous balloon dilatation and extracorporeal shock-wave lithotripsy.
Endoscopic papillotomy may not be possible in patients who have previously undergone gastric surgery. We describe the successful treatment of such a patient with ultrasound-guided, percutaneous transhepatic biliary drainage, followed by balloon dilatation of the sphincter of Oddi and extracorporeal shock-wave lithotripsy. Combinations of new treatment forms may be necessary and effective when single forms of treatment fail.
Groen
J N
JN
Department of Internal Medicine II, University Hospital, Dijkzigt, Rotterdam, The Netherlands.
Lock
M T
MT
Lameris
J S
JS
van Blankenstein
M
M
Terpstra
O T
OT
D000368:Aged; D002404:Catheterization; D002758:Cholangiography; D003131:Combined Modality Therapy; D005260:Female; D042882:Gallstones / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D008096:Lithotripsy