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Biliary Stones Extraction

  • Andrea TringaliEmail author
Chapter
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Abstract

Stones extraction is challenging even for small stones since many factors need to be considered: anatomy of the bile ducts, stone size and number, choice of the device (balloon vs. basket), and technical details (handling of the devices, axis, traction).

Endoscopic papillary large balloon dilatation changed the approach to biliary stones making endoscopic extraction more effective, reducing the need for mechanical lithotripsy which is considered also dangerous and technically demanding. Cholangioscopy-assisted lithotripsy is an advanced technique needed in case of failed extraction using other conventional methods.

Keywords

Biliary stones Dormia basket Fogarty balloon ERCP Mechanical lithotripsy Balloon dilatation Endoscopic papillary large balloon dilatation (EPLBD) Endoscopic sphincterotomy Personalized medicine 

Supplementary material

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Video 16.2

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Fondazione Policlinico Universitario A. Gemelli IRCCS. Digestive Endoscopy UnitRomeItaly
  2. 2.Centre for Endoscopic Research Therapeutics and Training (CERTT)Università Cattolica del Sacro CuoreRomeItaly

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