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Three Cases of Difficult Bile Duct Stone Removal by EUS-guided Choledochoduodenostomy

Jeong YJ, Choi MK, Hong SG

After failed removal of common bile duct or intrahepatic bile duct (IHD) stones by endoscopic retrograde cholangiopancreatography (ERCP), percutaneous lithotripsy is well-known as an effective procedure. However, it is time-consuming...
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What is the better surgical treatment option for recurrent common bile duct stones?

Park CY, Choi SH, Kwon CI, Cho JH, Jang SI, Lee TH, Han JH, Jeong S, Ko KH

Purpose: Repeating endoscopic retrograde cholangiopancreatography (ERCP) in patients with recurrent common bile duct (CBD) stones is problematic in many ways. Choledochoduodenostomy (CDS) and choledochojejunostomy (CJS) are 2 surgical treatment options...
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Recent development of endoscopic ultrasound-guided biliary drainage

Kunda R

Endoscopic ultrasound (EUS)-guided drainage of bile ducts is experiencing widespread introduction into clinical algorithms and utilization of its benefits on regular basis. Various types of procedures, including EUS-guided choledochoduodenostomy, EUS-guided...
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Infectious peritonitis after endoscopic ultrasound-guided biliary drainage in a patient with ascites

Okuno N, Hara K, Mizuno N, Kuwahara T, Iwaya H, Tajika M, Tanaka T, Ishihara M, Hirayama Y, Onishi S, Toriyama K, Ito A, Kuraoka N, Matsumoto , Obata M, Yasuda M, Kurita Y, Tanaka H, Niwa Y

SUMMARY OF EVENT: Bacterial, mycotic peritonitis and Candida fungemia developed in a patient with moderate ascites who had undergone endoscopic ultrasound-guided biliary drainage (EUS-BD). Antibiotics and antifungal agent were administered...
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Symptomatic Choledochal Cyst in Association with Pregnancy Managed with EUS-guided Choledochoduodenostomy without Fluoroscopic Guidance

Lee KM, Kang JE, Lee HK, An S, Hong SM, Lee HW, Park DH, Kim MH

Choledochal cyst has only rarely been encountered in association with pregnancy. The clinical manifestations are nonspecific and variable that makes it difficult to differentiate from physiologic changes in pregnancy. Consequently,...
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Simultaneous Duodenal Metal Stent Placement and EUS-Guided Choledochoduodenostomy for Unresectable Pancreatic Cancer

Kawakubo K, Isayama H, Nakai Y, Sasahira N, Kogure H, Sasaki T, Hirano K, Tada M, Koike K

  • KMID: 2053506
  • Gut Liver.
  • 2012 Jul;6(3):399-402.
Patients with pancreatic cancer frequently suffer from both biliary and duodenal obstruction. For such patients, both biliary and duodenal self-expandable metal stent placement is necessary to palliate their symptoms, but...
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EUS-Guided Biliary Drainage

Yamao K, Hara K, Mizuno N, Sawaki A, Hijioka S, Niwa Y, Tajika M, Kawai H, Kondo S, Shimizu Y, Bhatia V

  • KMID: 2053435
  • Gut Liver.
  • 2010 Sep;4(Suppl 1):S67-S75.
Endoscopic ultrasonography (EUS) combines endoscopy and intraluminal ultrasonography, and allows imaging with a high-frequency transducer over a short distance to generate high-resolution ultrasonographic images. EUS is now a widely accepted...
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Hemobilia as the Initial Manifestation of Cholangiocarcinoma in a Patient with Choledochoduodenostomy

Ryu DY, Cheong JH, Lee DG, Lee BE, Kim DU, Kim GH, Song GA

Hemobilia occurs when injury or disease causes communication between intrahepatic blood vessels and the intrahepatic or extrahepatic biliary system. The causes of hemobilia include trauma, gallstone disease, vascular malformation, inflammation,...
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Fatal Biliary-Systemic Air Embolism during Endoscopic Retrograde Cholangiopancreatography: A Case with Multifocal Liver Abscesses and Choledochoduodenostomy

Cha ST, Kwon CI, Seon HG, Ko KH, Hong SP, Hwang SG, Park PW, Rim KS

We report a rare case of a massive fatal embolism that occurred in the middle of endoscopic retrograde cholangiopancreatography (ERCP) and retrospectively examine the significant causes of the event. The...
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