胆管結石症に対する内視鏡治療

五十嵐 良典; 三村 享彦; 伊藤 謙; 鎌田 至; 岸本 有為; 岡野 直樹; 三浦 富宏

doi:10.11210/tando.24.30

Biliary Expert Lecture

Endoscopic lithotomy for the bile duct stones

Yoshinori Igarashi, Takahiko Mimura, Ken Ito, Itaru Kamata, Yuui Kishimoto, Naoki Okano, Tomihiro Miura

Author information

Yoshinori Igarashi
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Omori Medical Center
Takahiko Mimura
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Omori Medical Center
Ken Ito
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Omori Medical Center
Itaru Kamata
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Omori Medical Center
Yuui Kishimoto
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Omori Medical Center
Naoki Okano
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Omori Medical Center
Tomihiro Miura
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Omori Medical Center

Keywords: endoscopic lithotomy, bile duct stone, endoscopic treatment, ESWL, EHL

JOURNAL FREE ACCESS

2010 Volume 24 Issue 1 Pages 30-34

DOI https://doi.org/10.11210/tando.24.30

Details

Abstract

We performed an endoscopic lithotomy for the bile duct stones after endoscopic sphincterotomy. When the size of stone is over 10 mm. we usually performed an endoscopic mechanical litotomy (EML). When EML is failed, we usually performed an extracorporeal shock-wave lithotripsy ((ESWL) and/or electronic hydraulic lithotripsy (EHL). After endoscopic procedures, we usually performed endoscopic billiary stenting because of preventions for the postoperative cholangitis. Endoscopic lothotomy is safe and useful technique for the bile duct stones.

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