Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
권호 표지
DOI QR코드

DOI QR Code

Successful Removal of a Difficult Common Bile Duct Stone by Percutaneous Transcholecystic Cholangioscopy

  • Hyunsuk Lee (Department of Internal Medicine, Liver Research Institute, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Sang Hyub Lee (Department of Internal Medicine, Liver Research Institute, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Gunn Huh (Department of Internal Medicine, Liver Research Institute, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Yeji Kim (Department of Internal Medicine, Liver Research Institute, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Saebeom Hur (Department of Radiology, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Moonhaeng Hur (Department of Internal Medicine, Liver Research Institute, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Minwoo Lee (Department of Internal Medicine, Liver Research Institute, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Byeongyun Ahn (Department of Internal Medicine, Liver Research Institute, Seoul National University Hospital, Seoul National University College of Medicine)
  • Received : 2020.11.17
  • Accepted : 2020.12.30
  • Published : 2022.03.30
Download PDF
⟨ Previous Next ⟩

Abstract

Common bile duct (CBD) stones are prevalent in 11% to 21% of patients with gallstones and can cause various clinical manifestations, from biliary colic to biliary sepsis. The treatment of choice is endoscopic retrograde cholangiopancreatography, but approximately 5% to 10% of CBD stones are difficult to remove using these conventional endoscopic methods. Although percutaneous transhepatic cholangioscopy and lithotripsy can be used as an alternative, it can be technically demanding and risky if the intrahepatic duct is not dilated. We report a case of a large CBD stone that was successfully removed using percutaneous transcholecystic cholangioscopy.

Keywords

References

  1. Hermann RE. The spectrum of biliary stone disease. Am J Surg 1989;158:171-173. https://doi.org/10.1016/0002-9610(89)90245-6
  2. Moller M, Gustafsson U, Rasmussen F, Persson G, Thorell A. Natural course vs interventions to clear common bile duct stones: data from the Swedish Registry for Gallstone Surgery and Endoscopic Retrograde Cholangiopancreatography (GallRiks). JAMA Surg 2014;149:1008-1013. https://doi.org/10.1001/jamasurg.2014.249
  3. Williams E, Beckingham I, El Sayed G, et al. Updated guideline on the management of common bile duct stones (CBDS). Gut 2017;66:765-782. https://doi.org/10.1136/gutjnl-2016-312317
  4. Lee JH, Kim HW, Kang DH, et al. Usefulness of percutaneous transhepatic cholangioscopic lithotomy for removal of difficult common bile duct stones. Clin Endosc 2013;46:65-70. https://doi.org/10.5946/ce.2013.46.1.65
  5. Jung GS, Kim YJ, Yun JH, et al. Percutaneous transcholecystic removal of common bile duct stones: case series in 114 patients. Radiology 2019;290:238-243. https://doi.org/10.1148/radiol.2018173043
  6. Ahmed S, Schlachter TR, Hong K. Percutaneous transhepatic cholangioscopy. Tech Vasc Interv Radiol 2015;18:201-209. https://doi.org/10.1053/j.tvir.2015.07.003
  7. Molvar C, Glaenzer B. Choledocholithiasis: evaluation, treatment, and outcomes. Semin Intervent Radiol 2016;33:268-276. https://doi.org/10.1055/s-0036-1592329
  8. Turner MA, Fulcher AS. The cystic duct: normal anatomy and disease processes. Radiographics 2001;21:3-22; questionnaire 288-294. https://doi.org/10.1148/radiographics.21.1.g01ja093