ENDOSCOPIC LITHOTRIPSY METHOD WITH A HANDMADE SNARE USING A GUIDEWIRE FOR RESECTION OF A BULKY PHYTOBEZOAR

Abstract

We devised the ELG (Endoscopic Lithotripsy using a Guidewire) method with a handmade snare using a guidewire for resection of a bulky phytobezoar.
A snare was created by bending a guidewire for the biliary tract into the shape of a loop. Each end of the guidewire was run through each of two snare sheaths in a 2-channel endoscope, and we could adjust the snare size freely.
An advantage of the ELG method was that we were able to perform this method with the usual tools for endoscopic measures. We could increase the snare size and perform snaring easily. This snare had strong crushing power and there was no risk of the snare becoming incarcerated after snaring.