Needle knife sphincterotomy for an impacted ampullary stone with difficult selective biliary cannulation
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概要
- 論文の詳細を見る
Endoscopic treatment is highly effective for extracting common bile duct (CBD) stones and is the most common therapeutic method for CBD stones. For patients with CBD stones, the treatment goal is to completely clear the biliary duct. In general, the successful extraction rate using a basket and/or balloon catheter is as high as 90%. However, stones that are resistant to conventional endoscopic treatment procedures can be both challenging and time consuming to treat; and successful treatment can require a combination of techniques, including mechanical lithotripsy or extracorporeal shock wave lithotripsy. We performed needle knife sphincterotomy and attempted to remove a CBD stone using biopsy forceps and alligator grasping forceps without a lithotripter in a patient with a large impacted stone at the ampulla of Vater. After attempting several techniques, the stone was successfully removed with balloon extraction.
- Wiley-Blackwellの論文
- 2010-06-01
著者
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Hirano Satoshi
北海道大学 医学研究科腫瘍外科学分野
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Asaka Masahiro
Department Of Gastroenterology And Hematology Hokkaido University Graduate School Of Medicine
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Asaka Masahiro
北海道大学 医学研究科消化器内科学
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KAWAKAMI HIROSHI
Department of Gastroenterology, Hokkaido University Graduate School of Medicine
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Katoh Hiroyuki
Department Of Surgery Tonan Hospital
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Sugiura Hiroshi
Department Of Surgical Oncology Division Of Cancer Medicine Hokkaido University Graduate School Of M
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Asaka Masahiro
Department Of Gastroenterology Hokkaido University Graduate School Of Medicine
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Asaka Masahiro
Third Department Of Internal Medicine Hokkaido University Graduate School Of Medicine
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KUWATANI MASAKI
Department of Gastroenterology, Hokkaido University Graduate School of Medicine
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ONODERA MANABU
Department of Gastroenterology, Hokkaido University Graduate School of Medicine
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Onodera Manabu
Department Of Gastroenterology Hokkaido University Graduate School Of Medicine
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Maruta Ichiroh
Department Of Hematology And Oncology Hokkaido University Graduate School Of Medicine
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Imamura Masahiro
Department Of Internal Medicine Saiseikai-hita Hospital
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Shirato Hiroki
Keiyukai Sapporo Hospital Sapporo Jpn
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Iwahashi Masahiro
Department Of Internal Medicine Saiseikai-hita Hospital
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Kanamori Hiroe
Department Of Gastroenterology And Hematology Hokkaido University Graduate School Of Medicine
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Imamura M
Department Of Internal Medicine Saiseikai-hita Hospital
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Kobayashi Hajime
Fourth Department Of Internal Medicine Obihiro Kosei Hospital
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HABA SHIN
Department of Gastroenterology, Hokkaido University Graduate School of Medicine
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Haba Shin
Department Of Surgical Oncology Hokkaido University Graduate School Of Medicine
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Kuwatani Masaki
Department Of Gastroenterology Hokkaido University Graduate School Of Medicine
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Asaka M
Department Of Gastroenterology Hokkaido University Graduate School Of Medicine
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Kawakami Hiroshi
Department Of Gastroenterology Hokkaido University Graduate School Of Medicine
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Kawakami Hiroshi
北海道大学 医学研究科消化器内科
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Shirato Hiroki
Department Of Diagnostic And Interventional Radiology Hokkaido University Hospital
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Kawakami Hiroshi
Department Of Gastroenterology And Hepatology Hokkaido University
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Haba Shin
Department Of Gastroenterology Hokkaido University Graduate School Of Medicine
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Asaka Masahiro
Department Of Cancer Preventive Medicine Graduate School Of Medicine Hokkaido University
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Kawakami Hiroshi
Department of Food Science & Nutrition, Kyoritsu Women's University
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Kawakami Hiroshi
Department of Cardiology, Ehime Prefectural Central Hospital
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