Endoscopic Management of Complex Biliary Stone Disease

Prashant Kedia; Paul R Tarnasky

doi:10.1016/j.giec.2018.11.004

Endoscopic Management of Complex Biliary Stone Disease

Gastrointest Endosc Clin N Am. 2019 Apr;29(2):257-275. doi: 10.1016/j.giec.2018.11.004. Epub 2019 Feb 2.

Authors

Prashant Kedia¹, Paul R Tarnasky²

Affiliations

¹ Division of Gastroenterology, Department of Medicine, Methodist Dallas Medical Center, 221 West Colorado Boulevard, Pavillion II, Suite 630, Dallas, TX 75208, USA. Electronic address: Prashant.kedia@dhat.com.
² Division of Gastroenterology, Department of Medicine, Methodist Dallas Medical Center, 221 West Colorado Boulevard, Pavillion II, Suite 630, Dallas, TX 75208, USA.

PMID: 30846152
DOI: 10.1016/j.giec.2018.11.004

Abstract

Choledocholithiasis is a common disorder that is managed universally by endoscopic retrograde cholangiopancreatography (ERCP). For difficult or complex stones, ERCP with conventional techniques may fail to achieve biliary clearance in 10% to 15% of cases. This review summarizes the literature regarding the current available endoscopic techniques for complex stone disease, including mechanical lithotripsy, endoscopic papillary large balloon dilation, cholangioscopy-guided lithotripsy, and endoscopic ultrasound-guided biliary access.

Keywords: Bile duct stone; Cholangioscopy; Choledocholithiasis; ERCP; Laser lithotripsy; Lithotripsy.

Publication types

Review
Video-Audio Media

MeSH terms

Cholangiopancreatography, Endoscopic Retrograde
Choledocholithiasis / therapy*
Dilatation / instrumentation
Dilatation / methods*
Gallstones / complications*
Gallstones / therapy*
Humans
Lithotripsy / methods*
Sphincterotomy, Endoscopic
Stents