Gallstone disease future or investigational therapies: Difference between revisions
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==Overview== | ==Overview== | ||
Electrohydraulic lithotripsy is the latest advancement in the removal of gallstones in a nonsurgical manner | Electrohydraulic lithotripsy (EHL) is the latest advancement in the removal of gallstones in a nonsurgical manner. EHL reportedly has success rates of over 90%. | ||
==Future or Investigational Therapies== | ==Future or Investigational Therapies== | ||
*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]].<ref name="pmid2335279">{{cite journal |vauthors=Siegel JH, Ben-Zvi JS, Pullano WE |title=Endoscopic electrohydraulic lithotripsy |journal=Gastrointest. Endosc. |volume=36 |issue=2 |pages=134–6 |year=1990 |pmid=2335279 |doi= |url=}}</ref><ref name="pmid8519238">{{cite journal |vauthors=Binmoeller KF, Brückner M, Thonke F, Soehendra N |title=Treatment of difficult bile duct stones using mechanical, electrohydraulic and extracorporeal shock wave lithotripsy |journal=Endoscopy |volume=25 |issue=3 |pages=201–6 |year=1993 |pmid=8519238 |doi=10.1055/s-2007-1010293 |url=}}</ref><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> | ||
*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 | *Unlike [[Endoscopic retrograde cholangiopancreatography|ERCP]], no [[X-rays]] 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. | *[[Bleeding]] may also occur, as well as injury to the surrounding [[epithelium]]. | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
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[[Category:Needs content]] | [[Category:Needs content]] | ||
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[[Category:Hepatology]] | [[Category:Hepatology]] | ||
[[Category:Surgery]] | [[Category:Surgery]] | ||
Latest revision as of 21:48, 29 July 2020
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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 (EHL) is the latest advancement in the removal of gallstones in a nonsurgical manner. EHL reportedly has success rates of over 90%.
Future or Investigational Therapies
- Electrohydraulic lithotripsy (EHL) works on the same principle as ERCP.[1][2][3]
- A digital single-operator cholangioscope known as "SpyGlass" is passed through a duodenoscope, which is passed through the oral passage.
- Unlike ERCP, no X-rays 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.
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.