Post written by Mauro Manno, MD, from the Gastroenterology and Digestive Endoscopy Unit, Azienda USL Modena, Carpi, Italy. EUS-guided gallbladder drainage with a lumen-apposing metal stent (LAMS) is a viable treatment option for acute cholecystitis and an alternative to cholecystectomy in patients at high risk for surgery. However, recurrent acute cholecystitis with stone impaction in the LAMS can …
Tag: electrohydraulic lithotripsy
A case of pancreatic duct stones treated with electrohydraulic lithotripsy through a duodenal ulcer
Post written by Shosuke Hosaka, MD, from the Department of Gastroenterology, Chiba-nishi General Hospital, Matsudo, Chiba, Japan, and the Department of Gastroenterology and Gastrointestinal Endoscopy, Tokyo Metropolitan Geriatric Medical Center, Tokyo, Japan. Endoscopic procedures such as ERCP and EUS are making significant contributions to the diagnosis and treatment of disorders in the biliopancreatic system in clinical …
Electrohydraulic lithotripsy under double-balloon endoscope–assisted direct cholangioscopy
Post written by Tatsuya Sato, MD, from the Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. This is a case report of double-balloon endoscope-assisted direct cholangioscopy in a patient with a history of total gastrectomy and Roux-en-Y (R-Y) reconstruction. Electrohydraulic lithotripsy (EHL) was necessary to remove large and multiple bile …
Removal of large impacted pancreatic stone
Chang-Il Kwon, MD, and Stuart Sherman, MD, from the Division of Gastroenterology/Hepatology, Indiana University School of Medicine, in Indianapolis, Indiana, USA present this VideoGIE case, "Large impacted pancreatic stone removed with single-operator pancreatoscopy and electrohydraulic lithotripsy." In patients with obstructive chronic calcific pancreatitis, endoscopic decompression of the main pancreatic duct with stone removal is an …
Electrohydraulic lithotripsy and gallstone removal
Alireza Sedarat, MD, Division of Digestive Diseases, Department of Medicine, University of California Los Angeles, in Los Angeles, California, USA presents this VideoGIE case "Electrohydraulic lithotripsy and removal of a gallstone obstructing the duodenum: Bouveret syndrome." The case describes an elderly patient with advanced gallbladder cancer who presented with emesis and a presumptive diagnosis of …
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Rescue of basket-impacted stone
Takayoshi Tsuchiya, MD, PhD from the Tokyo Medical University Hospital in Tokyo, Japan presents this video case "Rescue of basket-impacted stone by use of electrohydraulic lithotripsy under cholangioscopy (with videos)" from the VideoGIE section. Basket impaction of a bile duct stone is a well-known problem occurring during endoscopic transpapillary lithotripsy. Generally, it is resolved by …
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