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Chavan R, Bachkaniwala V, Gandhi C, Joshi V, Rajput S. Efficacy and safety of digital single-operator cholangioscopy-guided laser lithotripsy for remnant cystic duct stone-A single tertiary care center experience. Indian J Gastroenterol 2024; 43:841-844. [PMID: 37566182 DOI: 10.1007/s12664-023-01418-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/12/2023]
Affiliation(s)
- Radhika Chavan
- Department of Gastroenterology and Advanced Endoscopy, Ansh Clinic, Maninagar, Ahmedabad, 380 008, India.
| | - Vatsal Bachkaniwala
- Department of Gastroenterology and Advanced Endoscopy, Ansh Clinic, Maninagar, Ahmedabad, 380 008, India
| | - Chaiti Gandhi
- Department of Gastroenterology and Advanced Endoscopy, Ansh Clinic, Maninagar, Ahmedabad, 380 008, India
| | - Vivek Joshi
- Department of Gastroenterology and Advanced Endoscopy, Ansh Clinic, Maninagar, Ahmedabad, 380 008, India
| | - Sanjay Rajput
- Department of Gastroenterology and Advanced Endoscopy, Ansh Clinic, Maninagar, Ahmedabad, 380 008, India
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Hua L, Bull N, Fox A. Totally endoscopic management of type III Mirizzi syndrome using spyglass cholangioscopy. ANZ J Surg 2023; 93:2014-2016. [PMID: 37243315 DOI: 10.1111/ans.18545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2022] [Revised: 05/14/2023] [Accepted: 05/18/2023] [Indexed: 05/28/2023]
Affiliation(s)
- Lina Hua
- Department of UGI and HPB Surgery, Box Hill Hospital, Melbourne, Victoria, Australia
| | - Nicholas Bull
- Department of UGI and HPB Surgery, Box Hill Hospital, Melbourne, Victoria, Australia
| | - Adrian Fox
- Department of UGI and HPB Surgery, Box Hill Hospital, Melbourne, Victoria, Australia
- HPB and UGI Surgery, St Vincent's Hospital, Melbourne, Victoria, Australia
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Cholangioscopy-Assisted Laser Lithotripsy for Treatment of Postcholecystectomy Mirizzi Syndrome: Case Series. GASTROENTEROLOGY INSIGHTS 2023. [DOI: 10.3390/gastroent14010009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/08/2023] Open
Abstract
Introduction. Mirizzi syndrome (MS) represents a rare clinical entity caused by impaction of one or multiple stones in the infundibulum of the gall bladder or the cystic duct resulting in partial or complete obstruction of the common hepatic or common bile duct (CBD). Though described more than a century ago, MS is still one of the most challenging diseases in the spectrum of biliary pathology. In recent years, endoscopic treatment has become an increasingly popular treatment modality. Patients and methods. Three consecutive patients subjected to cholangioscopy-assisted laser lithotripsy (CA-LL) for postocholecystectomy MS (pMS) were retrospectively evaluated. Case reports. Successful clearance of the cystic duct was achieved in all patients in one or two sessions. One complication in the form of mild cholangitis was observed. Clinical success was 100%. Discussion. According to current research, CA-LL achieves a high rate of ductal clearance and acceptable complication rate in patients with pMS. A 250 µm laser fiber seems to be the optimal choice for CA-LL. Our results suggest that procedure duration is closely associated to the stone size and possibly to the operator experience. In our opinion, upon obtainment of successful ductal clearance and drainage, prophylactic stenting does not improve clinical outcome. Conclusions. Our results demonstrate that CA-LL is a safe and effective treatment for pMS.
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Kaneko J, Takinami M, Tsuji A, Nishino M, Takahashi Y, Yamada T. Endoscopic cystic duct remnant stone removal using peroral cholangioscopy. Endoscopy 2022; 55:E251-E252. [PMID: 36427500 PMCID: PMC9831781 DOI: 10.1055/a-1966-0351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Junichi Kaneko
- Division of Gastroenterology, Iwata City Hospital, Shizuoka, Japan
| | - Masaki Takinami
- Division of Gastroenterology, Iwata City Hospital, Shizuoka, Japan
| | - Atsushi Tsuji
- Division of Gastroenterology, Iwata City Hospital, Shizuoka, Japan
| | - Masafumi Nishino
- Division of Gastroenterology, Iwata City Hospital, Shizuoka, Japan
| | | | - Takanori Yamada
- Division of Gastroenterology, Iwata City Hospital, Shizuoka, Japan
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Singla V, Arora A, Bopanna S, Khare S, Kumar A, Bansal N, Sharma P. Outcome of Digital Cholangioscopy and Laser Lithotripsy for Impacted Biliary Stones. JOURNAL OF DIGESTIVE ENDOSCOPY 2022. [DOI: 10.1055/s-0042-1755337] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/15/2022] Open
Abstract
Abstract
Background and Aims Impacted stones in the bile duct are difficult to extract, and are predictor of failure of conventional endoscopic retrograde cholangiopancreatography techniques including mechanical lithotripsy and large balloon dilatation. Intracorporeal lithotripsy may be an effective technique for these stones. The aim of this study is to report the efficacy and safety of intracorporeal laser lithotripsy for impacted stones in the bile duct.
Method This study is retrospective analysis of prospectively collected data. Patients with impacted stones in the bile duct underwent cholangioscopy with spyglass DS system and laser lithotripsy. Outcome measures were proportion of patients with complete clearance of bile duct after the first session, number of sessions required for complete clearance, and the complications.
Results Forty-three patients (27 female) with mean age of 56.12 ± 15.16 years underwent digital cholangioscopy and laser lithotripsy. Mean bilirubin value was 1.8 ± 1.6 mg/dL, 20 (46.51%) patients had single stone, 35(81.39%) patients had only bile duct stones, and 8(18.61%) patients had additional stones in cystic duct or intrahepatic biliary radical. Mean size of largest stone was 16.2 ± 4.4mm. Average duration of the procedure was 69.11 ± 28.12minutes, and complete clearance was achieved in 41/43 (95.34%) patients after the first session. Mean number of sessions required for complete clearance was 1.02 ± .26. Postprocedure cholangitis occurred in one patient.
Conclusion Intracorporeal laser lithotripsy is an effective and safe modality for the clearance of impacted bile duct stones.
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Affiliation(s)
- Vikas Singla
- Center for Gastroenterology, Hepatology and Endoscopy, Max Superspeciality Hospital, Saket, New Delhi, India
| | - Anil Arora
- Institute of Liver, Gastroenterology and Pancreaticobiliary Sciences, Sir Ganga Ram Hospital, New Delhi, India
| | - Sawan Bopanna
- Center for Gastroenterology, Hepatology and Endoscopy, Max Superspeciality Hospital, Saket, New Delhi, India
| | - Shivam Khare
- Institute of Liver, Gastroenterology and Pancreaticobiliary Sciences, Sir Ganga Ram Hospital, New Delhi, India
| | - Ashish Kumar
- Institute of Liver, Gastroenterology and Pancreaticobiliary Sciences, Sir Ganga Ram Hospital, New Delhi, India
| | - Naresh Bansal
- Institute of Liver, Gastroenterology and Pancreaticobiliary Sciences, Sir Ganga Ram Hospital, New Delhi, India
| | - Praveen Sharma
- Institute of Liver, Gastroenterology and Pancreaticobiliary Sciences, Sir Ganga Ram Hospital, New Delhi, India
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