title: Case report: trouble-shooting for difficult cases of common bile duct stones with endoscopic treatment.
abstract: A case of basket catheter impaction was experienced during treatment for a common bile duct (CBD) stone. In cases of large CBD stones, mechanical basket lithotripsy or extracorporeal shock wave lithotripsy (ESWL) is usually carried out. However, once basket catheter impaction occurs, ESWL should be performed in the remaining basket catheter, which is passed through the patient's nose, and further ESWL basket lithotripsy must be carried out at a later time. On one occasion, a mechanical lithotripter was inserted along-side the conventional basket catheter through the incised papilla. This procedure is a safe and useful method for the clearance of CBD stones that cannot be removed with standard endoscopic procedures due to an impacted basket catheter.
authors.affiliation: Department of Gastroenterology, Kyoto Second Red Cross Hospital, Kyoto, Japan. seijin7705@gmail.com
authors.forename: Kiyohito
authors.initials: K
authors.lastname: Tanaka
authors.forename: Kenjiro
authors.initials: K
authors.lastname: Yasuda
authors.forename: Koji
authors.initials: K
authors.lastname: Uno
authors.forename: Hideaki
authors.initials: H
authors.lastname: Kawabata
authors.forename: Takuji
authors.initials: T
authors.lastname: Kawamura
authors.forename: Soichiro
authors.initials: S
authors.lastname: Morikawa
mesh_terms: D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D002761:Cholangitis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D020878:Device Removal; D004868:Equipment Failure; D042882:Gallstones / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D008096:Lithotripsy / Q000009:adverse effects* / Q000295:instrumentation; D008297:Male; D013492:Suppuration