Gallstone disease future or investigational therapies: Difference between revisions
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*Electrohydraulic lithotripsy (EHL) works on the same principle as [[Endoscopic retrograde cholangiopancreatography|ERCP]]. | *Electrohydraulic lithotripsy (EHL) works on the same principle as [[Endoscopic retrograde cholangiopancreatography|ERCP]]. | ||
*A digital single-operator [[Endoscopy|cholangioscope]] known as "SpyGlass" is passed through a [[Endoscopy|duodenoscope]], which is passed through the oral passage. | *A digital single-operator [[Endoscopy|cholangioscope]] known as "SpyGlass" is passed through a [[Endoscopy|duodenoscope]], which is passed through the oral passage. | ||
*Unlike ERCP, no xrays are needed to | *Unlike [[Endoscopic retrograde cholangiopancreatography|ERCP]], no [[X-rays|xrays]] are needed to visualize the stones. | ||
*Once the stones are reached, a powerful burst of electrical currents are released to shatter stones. | *Once the stones are reached, a powerful burst of electrical currents are released to shatter stones. | ||
*The main complicaton with EHL is that the common bile duct may be perforated. | *The main complicaton with EHL is that the common bile duct may be [[Perforation|perforated]]. | ||
*Bleeding may also occur, as well as injury to the surrounding epithelium.<ref name="pmid8903562">{{cite journal |vauthors=Lee JG, Leung JW |title=Endoscopic management of difficult common bile duct stones |journal=Gastrointest. Endosc. Clin. N. Am. |volume=6 |issue=1 |pages=43–55 |year=1996 |pmid=8903562 |doi= |url=}}</ref><ref name="pmid9569358">{{cite journal |vauthors=Craigie JE, Adams DB, Byme TK, Tagge EP, Tarnasky PR, Cunningham JT, Hawes RH |title=Endoscopic electrohydraulic lithotripsy in the management of pancreatobiliary lithiasis |journal=Surg Endosc |volume=12 |issue=5 |pages=405–8 |year=1998 |pmid=9569358 |doi= |url=}}</ref><ref name="pmid8836715">{{cite journal |vauthors=Adamek HE, Maier M, Jakobs R, Wessbecher FR, Neuhauser T, Riemann JF |title=Management of retained bile duct stones: a prospective open trial comparing extracorporeal and intracorporeal lithotripsy |journal=Gastrointest. Endosc. |volume=44 |issue=1 |pages=40–7 |year=1996 |pmid=8836715 |doi= |url=}}</ref><ref name="pmid10582769">{{cite journal |vauthors=Adamek HE, Schneider AR, Adamek MU, Jakobs R, Buttmann A, Benz C, Riemann JF |title=Treatment of difficult intrahepatic stones by using extracorporeal and intracorporeal lithotripsy techniques: 10 years' experience in 55 patients |journal=Scand. J. Gastroenterol. |volume=34 |issue=11 |pages=1157–61 |year=1999 |pmid=10582769 |doi= |url=}}</ref> | *[[Bleeding]] may also occur, as well as injury to the surrounding [[epithelium]].<ref name="pmid8903562">{{cite journal |vauthors=Lee JG, Leung JW |title=Endoscopic management of difficult common bile duct stones |journal=Gastrointest. Endosc. Clin. N. Am. |volume=6 |issue=1 |pages=43–55 |year=1996 |pmid=8903562 |doi= |url=}}</ref><ref name="pmid9569358">{{cite journal |vauthors=Craigie JE, Adams DB, Byme TK, Tagge EP, Tarnasky PR, Cunningham JT, Hawes RH |title=Endoscopic electrohydraulic lithotripsy in the management of pancreatobiliary lithiasis |journal=Surg Endosc |volume=12 |issue=5 |pages=405–8 |year=1998 |pmid=9569358 |doi= |url=}}</ref><ref name="pmid8836715">{{cite journal |vauthors=Adamek HE, Maier M, Jakobs R, Wessbecher FR, Neuhauser T, Riemann JF |title=Management of retained bile duct stones: a prospective open trial comparing extracorporeal and intracorporeal lithotripsy |journal=Gastrointest. Endosc. |volume=44 |issue=1 |pages=40–7 |year=1996 |pmid=8836715 |doi= |url=}}</ref><ref name="pmid10582769">{{cite journal |vauthors=Adamek HE, Schneider AR, Adamek MU, Jakobs R, Buttmann A, Benz C, Riemann JF |title=Treatment of difficult intrahepatic stones by using extracorporeal and intracorporeal lithotripsy techniques: 10 years' experience in 55 patients |journal=Scand. J. Gastroenterol. |volume=34 |issue=11 |pages=1157–61 |year=1999 |pmid=10582769 |doi= |url=}}</ref> | ||
==References== | ==References== | ||
Revision as of 17:52, 8 December 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]
Overview
Electrohydraulic lithotripsy is the latest advancement in the removal of gallstones in a nonsurgical manner boasting success rates of over 90%.[1][2]
Future or Investigational Therapies
- Electrohydraulic lithotripsy (EHL) works on the same principle as ERCP.
- A digital single-operator cholangioscope known as "SpyGlass" is passed through a duodenoscope, which is passed through the oral passage.
- Unlike ERCP, no xrays are needed to visualize the stones.
- Once the stones are reached, a powerful burst of electrical currents are released to shatter stones.
- The main complicaton with EHL is that the common bile duct may be perforated.
- Bleeding may also occur, as well as injury to the surrounding epithelium.[3][4][5][6]
References
- ↑ Siegel JH, Ben-Zvi JS, Pullano WE (1990). "Endoscopic electrohydraulic lithotripsy". Gastrointest. Endosc. 36 (2): 134–6. PMID 2335279.
- ↑ Binmoeller KF, Brückner M, Thonke F, Soehendra N (1993). "Treatment of difficult bile duct stones using mechanical, electrohydraulic and extracorporeal shock wave lithotripsy". Endoscopy. 25 (3): 201–6. doi:10.1055/s-2007-1010293. PMID 8519238.
- ↑ Lee JG, Leung JW (1996). "Endoscopic management of difficult common bile duct stones". Gastrointest. Endosc. Clin. N. Am. 6 (1): 43–55. PMID 8903562.
- ↑ Craigie JE, Adams DB, Byme TK, Tagge EP, Tarnasky PR, Cunningham JT, Hawes RH (1998). "Endoscopic electrohydraulic lithotripsy in the management of pancreatobiliary lithiasis". Surg Endosc. 12 (5): 405–8. PMID 9569358.
- ↑ Adamek HE, Maier M, Jakobs R, Wessbecher FR, Neuhauser T, Riemann JF (1996). "Management of retained bile duct stones: a prospective open trial comparing extracorporeal and intracorporeal lithotripsy". Gastrointest. Endosc. 44 (1): 40–7. PMID 8836715.
- ↑ Adamek HE, Schneider AR, Adamek MU, Jakobs R, Buttmann A, Benz C, Riemann JF (1999). "Treatment of difficult intrahepatic stones by using extracorporeal and intracorporeal lithotripsy techniques: 10 years' experience in 55 patients". Scand. J. Gastroenterol. 34 (11): 1157–61. PMID 10582769.