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Intraductal Lithotripsy

  • Jörg G. AlbertEmail author
  • Jan Peveling-Oberhag
Chapter
  • 151 Downloads

Abstract

Symptomatic bile duct stones and hepaticolithiasis has become a domain of endoscopic treatment. Intraductal lithotripsy comprises different techniques of stone destruction that are based on oral or percutaneous endoscopic access to the bile duct system. Mechanical lithotripsy is a readily available method; however, stone removal may fail with hard, impacted, or big bile duct stones. The primary advantage of cholangioscopy is the direct visualization of the biliary tree. Laser lithotripsy and electrohydraulic lithotripsy require cholangioscopy technique, as visualization of the stone is needed to guarantee effective destruction and to avoid damage to the bile duct wall. Stones can then be removed after fragmentation. In this chapter we discuss advantages and disadvantages of different intraductal lithotripsy techniques as well as tips and tricks for their successful clinical application.

Keywords

Intraductal Lithotripsy Cholangioscopy Laser lithotripsy Electrohydraulic lithotripsy 

References

  1. 1.
    Riemann JF, Seuberth K, Demling L. Clinical application of a new mechanical lithotripter for smashing common bile duct stones. Endoscopy. 1982;14(6):226–30. Epub 1982/11/01.CrossRefGoogle Scholar
  2. 2.
    Lee SH, Park JK, Yoon WJ, Lee JK, Ryu JK, Kim YT, et al. How to predict the outcome of endoscopic mechanical lithotripsy in patients with difficult bile duct stones? Scand J Gastroenterol. 2007;42(8):1006–10. Epub 2007/07/07.CrossRefGoogle Scholar
  3. 3.
    Schneider MU, Matek W, Bauer R, Domschke W. Mechanical lithotripsy of bile duct stones in 209 patients—effect of technical advances. Endoscopy. 1988;20(5):248–53. Epub 1988/09/01.CrossRefGoogle Scholar
  4. 4.
    Farnik H, Weigt J, Malfertheiner P, Grutzmann A, Gossner L, Friedrich-Rust M, et al. A multicenter study on the role of direct retrograde cholangioscopy in patients with inconclusive endoscopic retrograde cholangiography. Endoscopy. 2014;46(1):16–21. Epub 2013/12/20.PubMedGoogle Scholar
  5. 5.
    Korrapati P, Ciolino J, Wani S, Shah J, Watson R, Muthusamy VR, et al. The efficacy of peroral cholangioscopy for difficult bile duct stones and indeterminate strictures: a systematic review and meta-analysis. Endosc Int Open. 2016;4(3):E263–75. Epub 2016/03/24.CrossRefGoogle Scholar
  6. 6.
    Stefanidis G, Christodoulou C, Manolakopoulos S, Chuttani R. Endoscopic extraction of large common bile duct stones: a review article. World J Gastrointest Endosc. 2012;4(5):167–79. Epub 2012/05/25.CrossRefGoogle Scholar
  7. 7.
    Trikudanathan G, Arain MA, Attam R, Freeman ML. Advances in the endoscopic management of common bile duct stones. Nat Rev Gastroenterol Hepatol. 2014;11(9):535–44. Epub 2014/05/28.CrossRefGoogle Scholar
  8. 8.
    Brewer Gutierrez OI, Bekkali NLH, Raijman I, Sturgess R, Sejpal DV, Aridi HD, et al. Efficacy and safety of digital single-operator cholangioscopy for difficult biliary stones. Clin Gastroenterol Hepatol. 2018;16(6):918–26.e1. Epub 2017/10/28.CrossRefGoogle Scholar
  9. 9.
    Buxbaum J, Sahakian A, Ko C, Jayaram P, Lane C, Yu CY, et al. Randomized trial of cholangioscopy-guided laser lithotripsy versus conventional therapy for large bile duct stones (with videos). Gastrointest Endosc. 2018;87(4):1050–60. Epub 2017/09/04.CrossRefGoogle Scholar
  10. 10.
    Karsenti D, Coron E, Vanbiervliet G, Privat J, Kull E, Bichard P, et al. Complete endoscopic sphincterotomy with vs. without large-balloon dilation for the removal of large bile duct stones: randomized multicenter study. Endoscopy. 2017;49(10):968–76. Epub 2017/07/29.CrossRefGoogle Scholar
  11. 11.
    Yang XM, Hu B. Endoscopic sphincterotomy plus large-balloon dilation vs endoscopic sphincterotomy for choledocholithiasis: a meta-analysis. World J Gastroenterol. 2013;19(48):9453–60. Epub 2014/01/11.CrossRefGoogle Scholar
  12. 12.
    Shi D, Yu CG. Comparison of two capture methods for endoscopic removal of large common bile duct stones. J Laparoendosc Adv Surg Tech A. 2014;24(7):457–61. Epub 2014/07/06.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Abteilung für Gastroenterologie, Hepatologie und EndokrinologieRobert-Bosch-KrankenhausStuttgartGermany

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