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Contributions

Mechanical lithotripsy of large common bile duct stones

Jacques Van Dam, MD, PhD and Michael V. Sivak, MD
Cleveland Clinic Journal of Medicine January 1993, 60 (1) 38-42;
Jacques Van Dam
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Michael V. Sivak Jr
Department of Gastroenterology, The Cleveland Clinic Foundation.
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ABSTRACT

Endoscopic removal of biliary calculi is a safe and effective alternative to surgical exploration of the common bile duct. However, as stones increase in diameter, endoscopic retrieval becomes more difficult and hazardous. Mechanical lithotripsy is an endoscopic technique used to crush common bile duct stones that are too large to be removed by conventional methods. In the 3 years following the introduction of this technique at our institution, 145 patients underwent endoscopic retrograde cholangiopancreatography for symptomatic choledocholithiasis. Endoscopic mechanical lithotripsy improved the overall success rate of common bile duct clearance from 8 6 . 2 % to 94.5%. No morbidity or mortality was associated with the procedure. Therefore, we recommend mechanical lithotripsy when bile duct stones cannot be removed with conventional techniques.

INDEX TERMS
  • Common Bile Duct Calculi
  • Lithotripsy
  • Cholangiopancreatography
  • Endoscopic Retrograde
  • Copyright © 1993 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 60 (1)
Cleveland Clinic Journal of Medicine
Vol. 60, Issue 1
1 Jan 1993
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Mechanical lithotripsy of large common bile duct stones
Jacques Van Dam, Michael V. Sivak
Cleveland Clinic Journal of Medicine Jan 1993, 60 (1) 38-42;

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Mechanical lithotripsy of large common bile duct stones
Jacques Van Dam, Michael V. Sivak
Cleveland Clinic Journal of Medicine Jan 1993, 60 (1) 38-42;
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Keywords

  • Common Bile Duct Calculi
  • Lithotripsy
  • Cholangiopancreatography
  • Endoscopic Retrograde

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