| Needle knife sphincterotomy for an impacted ampullary stone with difficult selective biliary cannulation. | |
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MedLine Citation:
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PMID: 20590756 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Endoscopic treatment is highly effective for extracting common bile duct (CBD) stones and is the most common therapeutic method for CBD stones. For patients with CBD stones, the treatment goal is to completely clear the biliary duct. In general, the successful extraction rate using a basket and/or balloon catheter is as high as 90%. However, stones that are resistant to conventional endoscopic treatment procedures can be both challenging and time-consuming to treat; and successful treatment can require a combination of techniques, including mechanical lithotripsy or extracorporeal shock-wave lithotripsy. We performed needle knife sphincterotomy and attempted to remove a CBD stone using biopsy forceps and alligator grasping forceps without a lithotripter in a patient with a large impacted stone at Vater's ampulla. After attempting several techniques, the stone was successfully removed with balloon extraction. |
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Authors:
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Hiroshi Kawakami; Masaki Kuwatani; Manabu Onodera; Shin Haba; Masahiro Asaka |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society Volume: 22 Suppl 1 ISSN: 1443-1661 ISO Abbreviation: Dig Endosc Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-07-01 Completed Date: 2010-11-09 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9101419 Medline TA: Dig Endosc Country: Australia |
Other Details:
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Languages: eng Pagination: S107-10 Citation Subset: IM |
Affiliation:
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Department of Gastroenterology, Hokkaido University Graduate School of Medicine, Sapporo, Japan. hiropon@med.hokudai.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged, 80 and over Catheterization / methods* Common Bile Duct Duodenoscopy Endoscopes* Equipment Design Female Gallstones / diagnosis, therapy* Humans Sphincterotomy, Endoscopic / instrumentation* Tomography, X-Ray Computed |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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