Tando
Online ISSN : 1883-6879
Print ISSN : 0914-0077
ISSN-L : 0914-0077
Complication of endoscopic therapeutic lithotripsy for choledocholithiasis
Toshihide OhyaSusumu Tazuma
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2010 Volume 24 Issue 5 Pages 754-761

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Abstract
Complication of endoscopic therapeutic lithotripsy including EST, EPBD and ESWL were reviewed. In general, complication was divided into two periods. The early complications that were occurred in a couple of days, were composed with acute pancreatitis, bleeding and duodenal rupture. The occurrence rate of these therapeutic procedures were twice compared with diagnostic ERCP. The serious issue was acute pancreatitis and regarding this point, EST was superior to EPBD. The latter complication were consist of stone recurrence, cholecystitis, cholangitis and biliary malignancy. Regarding the stone recurrence, EPBD was superior to EST. However, it is still controversial which technique was better procedure.
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© 2010 Japan Biliary Association
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