The Light at the End of the Tunnel

Approximately 5%–10% of common bile duct (CBD) stones cannot be removed by conventional methods because of altered anatomy. Percutaneous transhepatic cholangioscopic lithotomy has been cited as a viable alternative. A 69-year-old woman with a history of Roux-en-Y was found to have a lesion obstructi...

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Detalles Bibliográficos
Autores principales: Mando, Rufaat, Ceballos, Darrel, Kumar, Manoj, Abdul-Rahim, Osama, Mizrahi, Meir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6722378/
https://www.ncbi.nlm.nih.gov/pubmed/31620516
http://dx.doi.org/10.14309/crj.0000000000000113
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author Mando, Rufaat
Ceballos, Darrel
Kumar, Manoj
Abdul-Rahim, Osama
Mizrahi, Meir
author_facet Mando, Rufaat
Ceballos, Darrel
Kumar, Manoj
Abdul-Rahim, Osama
Mizrahi, Meir
author_sort Mando, Rufaat
collection PubMed
description Approximately 5%–10% of common bile duct (CBD) stones cannot be removed by conventional methods because of altered anatomy. Percutaneous transhepatic cholangioscopic lithotomy has been cited as a viable alternative. A 69-year-old woman with a history of Roux-en-Y was found to have a lesion obstructing the CBD. A cholangioscope was advanced through a percutaneous transhepatic sheath and demonstrated an obstructing stone in the CBD that was removed with lithotripsy. The rate of successful stone removal with percutaneous transhepatic cholangioscopic lithotomy is 90%, with complication rates similar to endoscopic retrograde cholangiopancreatography and is an option in patients with altered surgical anatomy.
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spelling pubmed-67223782019-10-16 The Light at the End of the Tunnel Mando, Rufaat Ceballos, Darrel Kumar, Manoj Abdul-Rahim, Osama Mizrahi, Meir ACG Case Rep J Case Report Approximately 5%–10% of common bile duct (CBD) stones cannot be removed by conventional methods because of altered anatomy. Percutaneous transhepatic cholangioscopic lithotomy has been cited as a viable alternative. A 69-year-old woman with a history of Roux-en-Y was found to have a lesion obstructing the CBD. A cholangioscope was advanced through a percutaneous transhepatic sheath and demonstrated an obstructing stone in the CBD that was removed with lithotripsy. The rate of successful stone removal with percutaneous transhepatic cholangioscopic lithotomy is 90%, with complication rates similar to endoscopic retrograde cholangiopancreatography and is an option in patients with altered surgical anatomy. Wolters Kluwer 2019-07-10 /pmc/articles/PMC6722378/ /pubmed/31620516 http://dx.doi.org/10.14309/crj.0000000000000113 Text en © 2019 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Case Report
Mando, Rufaat
Ceballos, Darrel
Kumar, Manoj
Abdul-Rahim, Osama
Mizrahi, Meir
The Light at the End of the Tunnel
title The Light at the End of the Tunnel
title_full The Light at the End of the Tunnel
title_fullStr The Light at the End of the Tunnel
title_full_unstemmed The Light at the End of the Tunnel
title_short The Light at the End of the Tunnel
title_sort light at the end of the tunnel
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6722378/
https://www.ncbi.nlm.nih.gov/pubmed/31620516
http://dx.doi.org/10.14309/crj.0000000000000113
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