Percutaneous transpapillary extraction of biliary calculus for symptomaticcholedocholithiasis after unsuccessfully endoscopic treatment.

Citation
N. Zorger et al., Percutaneous transpapillary extraction of biliary calculus for symptomaticcholedocholithiasis after unsuccessfully endoscopic treatment., ROFO-F RONT, 173(2), 2001, pp. 92-96
Citations number
22
Language
TEDESCO
art.tipo
Article
Categorie Soggetti
Radiology ,Nuclear Medicine & Imaging
Journal title
ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN
ISSN journal
1438-9029 → ACNP
Volume
173
Issue
2
Year of publication
2001
Pages
92 - 96
Database
ISI
SICI code
1438-9029(200102)173:2<92:PTEOBC>2.0.ZU;2-2
Abstract
Purpose: Evaluation of a percutaneous transhepatic treatment of symptomatic choledocholithiasis in bile ducts that cannot be reached with the endoscop e. Methods: From January 1996 to August 2000 a transhepatic extraction of b iliary calculus was performed in four patients. Endoscopic retrograde chola ngiography (ERC) was not successful in any Of the cases. Clinical symptoms were icterus in four cases, additional cholangitis or colics in two cases. First, a ballon dilation of the papilla was performed by a percutaneous tra nshepatic approach. For removal of bile duct stones, occlusion catheters an d Dormia baskets were used. Technical success was defined as complete remov al of bile duct stones. Clinical success was defined as normalization of ch olestasis and inflammation parameters. In the follow-up an ultrasound exami nation was performed and blood samples were taken for control of cholestasi s parameters. Results: In all four cases treatment was technically and clin ically successful. For complete removal of biliary calculus a second interv ention was necessary in two cases. In each case an internal to external dra inage was left over a mean of 7 days (3 -13 days). In the mean follow-up of 30.5 months (6-50 months) all patients had persistent relief of symptoms. No further interventions were necessary. No complications were present. Con clusion: Percutaneous transpapillary extraction of biliary calculus is an e ffective alternative to surgery in patients with bile ducts, that cannot be reached with the endoscope.