title: [Endoscopic contact lithotripsy--modern alternative in the therapy of patients with large stones of the common bile duct].
abstract: The peculiarities of therapeutic ERCP and contact lithotripsy in patients with choledocholithiasis were studied. 6516 patients (age from 11 to 94 years old) with choledocholithiasis were examined Endoscopic sphincterotomy/balloon dilation with stone extraction was effective in 5507 (84.5%), in 539 (8.8%)--we achieved bile ducts clearance by using mechanical or electrohydraulic lithotripsy. Additional usage of contact lithotripsy increased the effectiveness of therapeutic ERCP to 93.2%. Contact lithotripsy decreased number of specific for ERCP complication from 7.83% to 1.57% in patients with large (> 25mm) stones. Electrohydraulic lithotripsy was successful in destruction of hard bile stones, when mechanical lithotripsy failed.
authors: P V
authors: PV
authors: Ohorodnyk
authors: V I
authors: VI
authors: Kolomiĭtsev
authors: O I
authors: OI
authors: Kushniruk
authors: A H
authors: AH
authors: Deĭnychenko
authors: D I
authors: DI
authors: Khrystiuk
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D042883:Choledocholithiasis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D008096:Lithotripsy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D016717:Sphincterotomy, Endoscopic; D015607:Stents; D016896:Treatment Outcome; D055815:Young Adult