Korean J Pancreas Biliary Tract.  2023 Jul;28(3):76-80. 10.15279/kpba.2023.28.3.76.

Successful Endoscopic Treatment of Difficult Common Bile Duct Stones Using Various Interventional Techniques: A Case Report

• Kim AR
• Hwang JC
• Yoo BM
• Kim JH
• Yang MJ

• KMID: 2544816
• DOI: http://doi.org/10.15279/kpba.2023.28.3.76

Abstract

Clearance of a difficult biliary stone can be obtained using various interventional techniques such as endoscopic sphincterotomy followed by endoscopic papillary large balloon dilation, mechanical lithotripsy, peroral cholangioscopy-assisted intraductal electrohydraulic/laser lithotripsy, temporary plastic stent insertion, percutaneous transhepatic cholangioscopy-guided lithotripsy, and extracorporeal shock wave lithotripsy. We hereby describe the successful endoscopic treatment using various currently available interventional techniques in a case with multiple difficult common bile duct stones. Furthermore, we discuss the countermeasures to overcome the hurdles of each procedure.

Keyword

Common bile duct stone; Endoscopic sphincterotomy; Endoscopic papillary balloon dilatation; Mechanical lithotripsy; Electrohydraulic lithotripsy; 담관결석; 내시경유두괄약근절개술; 내시경 유두풍선확장술; 기계적쇄석술; 전기수압쇄석술