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Extraction of a stent-stone complex with a 9-French cholangioscope during electrohydraulic lithotripsy.
Endoscopy
December 2024
Department of Gastroenterology, Dokkyo Medical University Saitama Medical Center, Koshigaya, Japan.
Complete extraction of main pancreatic duct residual and microstones using an 8-wire basket catheter.
Endosc Int Open
November 2024
Department of Gastroenterology, Faculty of Medicine, Oita University, Oita, Japan.
Extracorporeal shock wave lithotripsy (ESWL), pancreatoscopy-guided electrohydraulic lithotripsy (EHL), and endoscopic retrograde cholangiopancreatography (ERCP) are primary treatments for symptomatic main pancreatic duct (MPD) stones. However, incomplete clearance of residual/microstones post-treatment may cause symptom recurrence. We hypothesized that the 8-wire biliary basket catheter could be suitable for MPD stone extraction and aimed to analyze its ability to achieve more complete clearance of MPD residual/microstones.
View Article and Find Full Text PDFEndoscopic ultrasound-guided cholecystoduodenostomy followed by stone clearance using electrohydraulic and mechanical lithotripsy in a frail patient with acute cholecystitis.
Endoscopy
December 2024
Gastroenterology, Hospital Garcia de Orta EPE, Almada, Portugal.
Pancreatoscopy-Guided Lithotripsy for Pancreatic Duct Stones: A Systematic Review and Meta-Analysis.
Turk J Gastroenterol
November 2024
Department of Gastroenterology, Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Article Synopsis
- Pancreatic duct stones (PDS) arise from chronic pancreatitis and can lead to severe pain, disease progression, and higher pancreatic cancer risk; pancreatoscopy-guided lithotripsy is a secondary endoscopic treatment for PDS.
- A systematic review of 17 studies involving 441 patients revealed a complete stone clearance rate of 81% and a clinical success rate of 90%, with a 12% rate of adverse events.
- The findings indicate that pancreatoscopy-guided lithotripsy is both a safe and effective option for treating pancreatic duct stones, showing high success rates and manageable complications.
A giant luminal bezoar treated by mechanical lithotripsy using a yellow zebra guide wire.
Rev Esp Enferm Dig
November 2024
Pathology, Gaochun People's Hospital of Nanjing, China.
Endoscopic fragmentation or removement of gastric bezoar is the simplest, most cost-effective approach, while the traditional endoscopic device include foreign body forceps, polypectomy snare, laser lithotripsy, and electrohydraulic lithotripsy. For bezoar < 3 cm, traditional snares are preferred. But for some giant or hard bezoars, traditional snares are too easily deformed to be used continuously and can be embedded in the bezoar causing direct damage to the stomach , Therefore, a handy and effective snare-like approach is needed, especially for elderly patients who have a high surgical risk.
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