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Endoscopic management of a difficult common bile duct stone

Authors:

CAH Liyanage ,

ERCP Laboratory, Department of Surgery 1, Graduate School of Medicine, Kyushu University Hospital, Fukuoka 812-8582, Japan., JP
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Y Sadakari,

ERCP Laboratory, Department of Surgery 1, Graduate School of Medicine, Kyushu University Hospital, Fukuoka 812-8582, Japan., JP
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J Lenaga,

ERCP Laboratory, Department of Surgery 1, Graduate School of Medicine, Kyushu University Hospital, Fukuoka 812-8582, Japan., JP
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R Tanabe,

ERCP Laboratory, Department of Surgery 1, Graduate School of Medicine, Kyushu University Hospital, Fukuoka 812-8582, Japan., LK
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S Takahata,

ERCP Laboratory, Department of Surgery 1, Graduate School of Medicine, Kyushu University Hospital, Fukuoka 812-8582, Japan., LK
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M Tanaka

ERCP Laboratory, Department of Surgery 1, Graduate School of Medicine, Kyushu University Hospital, Fukuoka 812-8582, Japan., LK
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Abstract

Endoscopic sphincterotomy and lithotripsy using a lithotripter basket have evolved as successful methods to manage bile duct stones. Endoscopic methods reduce morbidity associated with open or laparoscopic surgery. A major deterrent to successful endoscopic management of bile duct stones is large size, especially if the diameter of the stone is greater than the basket. We report a patient who had recurrent common bile duct (CBD) and hepatic duct stones, with one stone in the CBD measuring 35 mm × 33 mm, and the endoscopic technique used to clear the CBD.    

Key words: ERCP, sphincterotomy, CBD stone, lithotripsy

doi: 10.4038/cmj.v53.i3.253

Ceylon Medical Journal Vol. 53, No. 3, September 2008 pp.105-106

DOI: https://doi.org/10.4038/cmj.v53i3.253
How to Cite: Liyanage, C., Sadakari, Y., Lenaga, J., Tanabe, R., Takahata, S. and Tanaka, M., 2008. Endoscopic management of a difficult common bile duct stone. Ceylon Medical Journal, 53(3), pp.105–106. DOI: http://doi.org/10.4038/cmj.v53i3.253
Published on 17 Dec 2008.
Peer Reviewed

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