title: Removal of common bile duct stones by the combination of percutaneous balloon dilatation and extracorporeal shock-wave lithotripsy.
abstract: 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.
authors.affiliation: Department of Internal Medicine II, University Hospital, Dijkzigt, Rotterdam, The Netherlands.
authors.forename: J N
authors.initials: JN
authors.lastname: Groen
authors.forename: M T
authors.initials: MT
authors.lastname: Lock
authors.forename: J S
authors.initials: JS
authors.lastname: Lameris
authors.forename: M
authors.initials: M
authors.lastname: van Blankenstein
authors.forename: O T
authors.initials: OT
authors.lastname: Terpstra
mesh_terms: D000368:Aged; D002404:Catheterization; D002758:Cholangiography; D003131:Combined Modality Therapy; D005260:Female; D042882:Gallstones / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D008096:Lithotripsy