Using duodenoscope to treat hepatolithiasis:a clinical observation on 283 cases.
- VernacularTitle:经十二指肠镜治疗肝内胆管结石283例临床研究
- Author:
Shuren MA
;
Weihong MENG
;
Ning ZHANG
;
Zhuo YANG
;
Yunfeng ZHAO
;
Zhifeng ZHAO
;
Yingchun ZHANG
;
Ruming PAN
;
Xiao HAN
;
Feng GAO
;
Zhaojie GONG
;
Lin YANG
;
Liya CHANG
;
Xinyu HU
;
Aijiao YUAN
;
Yanan SUN
;
Xiaolong JIN
- Publication Type:Journal Article
- Keywords:
cholangiopancreatography;
duodenoscope;
hepatolithiasis
- From:
Chinese Journal of Practical Internal Medicine
2002;0(08):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the experience on using duodenoscope to treat hepatolithiasis through normal physiological ways.Methods ERCP,EST were used firstly,then removed calculus of the extrahepatic bile duct.Endoscopic papillary balloon dilatation was used if there was stenosis of bile duct.Removed calculus when it had been crushed in the hepatic duct.Injected decoction to dissolve calculus through endoscopic nasobiliary drainage,or inserted the endoscopic retrograde biliary drainage when the calculus was hard to removded.Results 101 cases of calculus in the extrahepatic bile duct were all removed.215 cases of hepatolithiasis were cleaned out at first time.9 cases were cured 1 week after dissolving calculus through endoscopic nasobiliary drainage.59 cases carried out ERBD,and 21 of them were cured 3 months later,37 patients were still in regular follow-up.33 cases with stenosis of bile duct were treated by endoscopic papillary balloon dilatation,19 of them were cured,the others were inserted with the endoscopic retrograde biliary drainage.19 cases of cholangitic abscess were cured by endoscopic nasobiliary drainage.Conclusion Using duodenoscope to treat hepatolithiasis through normal physiological ways is safe and effectic.
