Temporary use of an accuflex stent for unextractable common bile duct stones
| Autor: | Hiroya Saito, Yusuke Mizukami, Yasuo Sakurai, Tsutomu Izawa, Satoshi Arisato, Yutaka Kohgo, Yasuhiro Nakano, Takeshi Obara |
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| Rok vydání: | 2000 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Gallstones Biliary Stenting Lithotripsy Balloon medicine Humans Expanded metal Aged Cholangiopancreatography Endoscopic Retrograde Hepatology Common bile duct Bile duct business.industry Gastroenterology Stent Surgery Major duodenal papilla surgical procedures operative medicine.anatomical_structure Metals Drainage Female Stents business |
| Zdroj: | Journal of gastroenterology and hepatology. 15(6) |
| ISSN: | 0815-9319 |
| Popis: | Endoscopic management has become the main therapeutic approach for the extraction of common bile duct (CBD) stones, and successful removal can be achieved in 80-90% patients using conventional balloon and basket techniques. However, if it is difficult to completely fragment a stone, or to clear the CBD, which may occur for a variety of reasons, the therapeutic problem will remain. When bile duct stones can not be removed, a viable management option is to place a biliary stent to ensure drainage. However, recent studies of long-term biliary stenting, with a plastic stent, showed a relatively high rate of morbidity and mortality. We report an alternative, unique treatment for unextractable common bile duct stones, using the temporal placement of an expandable metallic stent (EMS) to facilitate passage of fragments through the papilla. |
| Databáze: | OpenAIRE |
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