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Needle knife sphincterotomy for an impacted ampullary stone with difficult selective biliary cannulation

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タイトル: Needle knife sphincterotomy for an impacted ampullary stone with difficult selective biliary cannulation
著者: Kawakami, Hiroshi 著作を一覧する
Kuwatani, Masaki 著作を一覧する
Onodera, Manabu 著作を一覧する
Haba, Shin 著作を一覧する
Asaka, Masahiro 著作を一覧する
キーワード: common bile duct stone
needle knife sphincterotomy
precut
selective common bile duct cannulation
wire-guided cannulation
発行日: 2010年 6月
出版者: Wiley-Blackwell
誌名: Digestive Endoscopy
巻: 22
号: Supplement s1
開始ページ: S107
終了ページ: S110
出版社 DOI: 10.1111/j.1443-1661.2010.00956.x
抄録: Endoscopic treatment is highly effective for extracting common bile duct (CBD) stones and is the most common therapeutic method for CBD stones. For patients with CBD stones, the treatment goal is to completely clear the biliary duct. In general, the successful extraction rate using a basket and/or balloon catheter is as high as 90%. However, stones that are resistant to conventional endoscopic treatment procedures can be both challenging and time consuming to treat; and successful treatment can require a combination of techniques, including mechanical lithotripsy or extracorporeal shock wave lithotripsy. We performed needle knife sphincterotomy and attempted to remove a CBD stone using biopsy forceps and alligator grasping forceps without a lithotripter in a patient with a large impacted stone at the ampulla of Vater. After attempting several techniques, the stone was successfully removed with balloon extraction.
Rights: The definitive version is available at www.blackwell-synergy.com
資料タイプ: article (author version)
URI: http://hdl.handle.net/2115/46757
出現コレクション:雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

提供者: 河上 洋

 

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