Successful endoscopic treatment of choledocholithiasis by using of extracorporeal shock-wave lithotripsy and ballon dilatation
https://doi.org/10.16931/1995-5464.20201119-123
Abstract
Clinical observation of choledocholithiasis followed by a large calculus of the common bile duct is presented. Endoscopic retrograde cholangiopancreatography with an attempt of lithotripsy was failed. Subsequent shock-wave lithotripsy was followed by fragmentation of a large stone. Balloon dilatation of major duodenal papilla with subsequent extraction of fragments of the stone were performed. Complex approach allowed us to successfully eliminate “difficult” choledocholithiasis and restore an adequate biliary passage.
About the Authors
V. B. Rinchinov
Semashko Republic Clinical Hospital
Russian Federation
Russian Federation
Vyacheslav B. Rinchinov – Endoscopist, Surgeon, Department of Endoscopy
12, str. Pavlova, Ulan-Ude, 670031, Russian Federation
Phone: +7-924-457-08-70
A. N. Plekhanov
Buryat State University; Irkutsk Scientific Center for Surgery and Traumatology
Russian Federation
Russian Federation
Doct. of Sci. (Med.), Professor of Medical Institute; Leading Research Fellow
24a, str. Smolina, Ulan-Ude, 670000, Russian Federation
1, str. Bortsov Revolyutsii, Irkutsk, 664003, Russian Federation
B. G. Garmaev
Semashko Republic Clinical Hospital
Russian Federation
Russian Federation
Cand. of Sci. (Med.), Head of the Department of Suppurative Surgery
12, str. Pavlova, Ulan-Ude, 670031, Russian Federation
References
1. Shapovalyants S.G., Mylnikov A.G., Pankov A.G., Ardasenov T.B., Orlov S.Yu., Budzinsky S.A., Shatrin A.V. Lechenie mekhanicheskoj zheltuhi, oslozhnennoj holangitom, u bol'nyh s krupnym holedoholitiazom [Treatment of obstructive jaundice complicated by cholangitis in patients with large stones of common bile duct]. Theses of the report at the city seminar “Topical issues of diagnosis and treatment of choledocholithiasis complicated by mechanical jaundice and cholangitis”. Moscow: NII im. N.V. Sklifosovskogo, 2009. P. 6–8. (In Russian)
2. Ardasenov T.B., Budzinsky S.A., Pankov A.G., Bachurin A.N., Shapovalyants S.G. Features of surgical treatment of complex forms of choledocholithiasis. Annaly khirurgicheskoj gepatologii = Annals of HPB Surgery. 2013; 18 (1): 23–28. (In Russian)
3. Ellis R.D., Jenkins A.P., Thompson R.P., Ede R.J. Clearance of refractory bile duct stones with extracorporeal shockwave lithotripsy. Gut. 2000; 47 (5): 728–731. http://doi.org/10.1136/ gut.47.5.728.
4. Leung J.W., Neuhaus H., Chopita N. Mechanical lithotripsy in the common bile duct. Endoscopy. 2001; 33 (9): 800–804.
5. Leung J.W., Tu R. Mechanical lithotripsy for large bile duct stones. Gastrointest. Endoscopy. 2004; 59 (6): 688–690. http://doi.org/10.1016/S0016-5107(04)00174-9.
6. Chaussy C., Brendel W., Schmiedt E. Extracorporeally induced destruction of kidney stones by shock waves. Lancet. 1980; 2 (8207): 1265–1268. http://doi.org/10.1016/S0140- 6736(80)92335-1.
7. Amplatz S., Piazzi L., Felder M., Comberlato M., Benvenuti S., Zancanella L., Di Fede F., de'Guelmi A., Bertozzo A., Farris P., Grasso T., Mega A., Chilovi F. Extracorporeal shock wave lithotripsy for clearance of refractory bile duct stones. Dig. Liver Dis. 2007; 39 (3): 267–272. http://doi.org/10.1016/j.dld.2006.11.003.
8. Sotnichenko B.A., Goncharov K.V., Pererva O.V., Makarov V.I., Dubler G.N. Risk factors in advanced age patients with choledocholithiasis. Annaly khirurgicheskoj gepatologii = Annals of HPB Surgery. 2002; 2 (2): 64–69. (In Russian)
9. Trikudanathan G., Navaneethan U., Parsi M.A. Endoscopic management of difficult common bile duct stones. World J. Gastroenterol. 2013; 19 (2): 165–173. http://doi.org/10.3748/wjg.v19.i2.165.
10. Muratori R., Azzaroli F., Buonfiglioli F., Alessandrelli F., Cecinato P., Mazzella G., Roda E. ESWL for difficult bile duct stones: a 15-year single centre experience. World J. Gastroenterol. 2010; 16 (33): 4159–4163. http://doi.org/10.3748/wjg.v16.i33.4159.
11. Kocdor M.A., Bora S., Terzi C., Ozman I., Tankut E. Extracorporeal shock wave lithotripsy for retained common bile duct stones. Minimally Invasive Therapy & Allied Technologies. 2000; 9 (5): 371–374. http://doi.org/10.3109/13645700009061462/.
Review
For citations:
Rinchinov V.B., Plekhanov A.N., Garmaev B.G. Successful endoscopic treatment of choledocholithiasis by using of extracorporeal shock-wave lithotripsy and ballon dilatation. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2020;25(1):119-123. (In Russ.) https://doi.org/10.16931/1995-5464.20201119-123
Views:
564
Email this article 