Korean J Gastroenterol.  2022 May;79(5):199-202. 10.4166/kjg.2022.059.

Complete Endoscopic Clearance of Common Bile Duct Stones

• Jang DK

• KMID: 2530326
• DOI: http://doi.org/10.4166/kjg.2022.059

Abstract

Common bile duct stones (CBDS) are the most common cause of acute cholangitis. Removal by endoscopic retrograde cholangiopancreatography became the standard of care after endoscopic sphincterotomy was introduced. On the other hand, it is still difficult to remove 10-15% of CBDS completely in the first attempt for various reasons. This review describes the methods for the complete endoscopic clearance of CBDS, including difficult cases, reflecting the latest knowledge and techniques.

Keyword

Common bile duct calculi; Cholangiopancreatography; endoscopic retrograde; Sphincterotomy; endoscopic

Figure

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  Fig. 1 Lithotripsy for a large biliary stone. (A) A large biliary stone is shown on cholangiography. (B) Lithotripsy is being performed. (C) Fragmented stones are extracted.

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