Korean J Pancreas Biliary Tract.  2023 Oct;28(4):103-107. 10.15279/kpba.2023.28.4.103.

Effective Removal Methods for Common Bile Duct Stones

Affiliations
  • 1Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
  • 2Department of Internal Medicine, Eunpyeong St. Mary’s Hospital, The Catholic University of Korea, Seoul, Korea

Abstract

Choledocholithiasis carries a risk of developing biliary obstruction, acute cholangitis, and pancreatitis. Therefore, removal is recommended even in asymptomatic patients. Endoscopic retrograde cholangiopancreatography (ERCP) is regarded as the standard of treatment for choledocholithiasis nowadays. However, ERCP can accompany severe complications such as bleeding, ERCP-associated pancreatitis, cholangitis, and perforations. It is important for endoscopists to know how to remove choledocholithiasis effectively while minimizing adverse events. In this review, we will go over the technical aspects and various accessories to effectively remove choledocholithiasis.

Keyword

Choledocholithiasis; Common bile duct; Endoscopic retrograde cholangiopancreatography; Lithotripsy; 총담관 결석; 총담관; 내시경역행성담췌관조영술; 쇄석술
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