[Endoscopic contact lithotripsy--modern alternative in the therapy of patients with large stones of the common bile duct]

Autor: P V, Ohorodnyk, V I, Kolomiĭtsev, O I, Kushniruk, A H, Deĭnychenko, D I, Khrystiuk
Rok vydání: 2014
Předmět:
Zdroj: Klinichna khirurhiia. (9)
ISSN: 0023-2130
Popis: 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.
Databáze: OpenAIRE