Efficacy and Safety of Digital Single-Operator Cholangioscopy for Difficult Biliary Stones
DC Field | Value | Language |
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dc.contributor.author | Gutierrez, Olaya I. Brewer | - |
dc.contributor.author | Bekkali, Noor L. H. | - |
dc.contributor.author | Raijman, Isaac | - |
dc.contributor.author | Sturgess, Richard | - |
dc.contributor.author | Sejpal, Divyesh V. | - |
dc.contributor.author | Aridi, Hanaa D. | - |
dc.contributor.author | Sherman, Stuart | - |
dc.contributor.author | Shah, Raj J. | - |
dc.contributor.author | Kwon, Richard S. | - |
dc.contributor.author | Buxbaum, James L. | - |
dc.contributor.author | Zulli, Claudio | - |
dc.contributor.author | Wassef, Wahid | - |
dc.contributor.author | Adler, Douglas G. | - |
dc.contributor.author | Kushnir, Vladimir | - |
dc.contributor.author | Wang, Andrew Y. | - |
dc.contributor.author | Krishnan, Kumar | - |
dc.contributor.author | Kaul, Vivek | - |
dc.contributor.author | Tzimas, Demetrios | - |
dc.contributor.author | DiMaio, Christopher J. | - |
dc.contributor.author | Ho, Sammy | - |
dc.contributor.author | Petersen, Bret | - |
dc.contributor.author | Moon, Jong Ho | - |
dc.contributor.author | Elmunzer, B. Joseph | - |
dc.contributor.author | Webster, George J. M. | - |
dc.contributor.author | Chen, Yen-I. | - |
dc.contributor.author | Dwyer, Laura K. | - |
dc.contributor.author | Inamdar, Summant | - |
dc.contributor.author | Patrick, Vanessa B. | - |
dc.contributor.author | Attwell, Augustin | - |
dc.contributor.author | Hosmer, Amy | - |
dc.contributor.author | Ko, Christopher | - |
dc.contributor.author | Maurano, Attilio | - |
dc.contributor.author | Sarkar, Avik | - |
dc.contributor.author | Taylor, Linda J. | - |
dc.contributor.author | Gregory, Martin H. | - |
dc.contributor.author | Strand, Daniel S. | - |
dc.contributor.author | Raza, Ali | - |
dc.contributor.author | Kothari, Shivangi | - |
dc.contributor.author | Harris, Jessica P. | - |
dc.contributor.author | Kumta, Nikhil A. | - |
dc.contributor.author | Manvar, Amar | - |
dc.contributor.author | Topazian, Mark D. | - |
dc.contributor.author | Lee, Yun Nah | - |
dc.contributor.author | Spiceland, Clayton M. | - |
dc.contributor.author | Trindade, Arvind J. | - |
dc.contributor.author | Bukhari, Majidah A. | - |
dc.contributor.author | Sanaei, Omid | - |
dc.contributor.author | Ngamruengphong, Saowanee | - |
dc.contributor.author | Khashab, Mouen A. | - |
dc.date.accessioned | 2021-08-11T12:23:51Z | - |
dc.date.available | 2021-08-11T12:23:51Z | - |
dc.date.issued | 2018-06 | - |
dc.identifier.issn | 1542-3565 | - |
dc.identifier.issn | 1542-7714 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/5956 | - |
dc.description.abstract | BACKGROUND & AIMS: It is not clear whether digital single-operator cholangioscopy (D-SOC) with electrohydraulic and laser lithotripsy is effective in removal of difficult biliary stones. We investigated the safety and efficacy of D-SOC with electrohydraulic and laser lithotripsy in an international, multicenter study of patients with difficult biliary stones. METHODS: We performed a retrospective analysis of 407 patients (60.4% female; mean age, 64.2 years) who underwent D-SOC for difficult biliary stones at 22 tertiary centers in the United States, United Kingdom, or Korea from February 2015 through December 2016; 306 patients underwent electrohydraulic lithotripsy and 101 (24.8%) underwent laser lithotripsy. Univariate and multivariable analyses were performed to identify factors associated with technical failure and the need for more than 1 D-SOC electrohydraulic or laser lithotripsy session to clear the bile duct. RESULTS: The mean procedure time was longer in the electrohydraulic lithotripsy group ( 73.9 minutes) than in the laser lithotripsy group (49.9 minutes; P < .001). Ducts were completely cleared (technical success) in 97.3% of patients (96.7% of patients with electrohydraulic lithotripsy vs 99% patients with laser lithotripsy; P = .31). Ducts were cleared in a single session in 77.4% of patients (74.5% by electrohydraulic lithotripsy and 86.1% by laser lithotripsy; P = .20). Electrohydraulic or laser lithotripsy failed in 11 patients (2.7%); 8 patients were treated by surgery. Adverse events occurred in 3.7% patients and the stone was incompletely removed from 6.6% of patients. On multivariable analysis, difficult anatomy or cannulation (duodenal diverticula or altered anatomy) correlated with technical failure (odds ratio, 5.18; 95% confidence interval, 1.26-21.2; P = .02). Procedure time increased odds of more than 1 session of D-SOC electrohydraulic or laser lithotripsy (odds ratio, 1.02; 95% confidence interval, 1.01-1.03; P < .001). CONCLUSIONS: In a multicenter, international, retrospective analysis, we found D-SOC with electrohydraulic or laser lithotripsy to be effective and safe in more than 95% of patients with difficult biliary stones. Fewer than 5% of patients require additional treatment with surgery and/or extracorporeal shockwave lithotripsy to clear the duct. | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | W. B. Saunders Co., Ltd. | - |
dc.title | Efficacy and Safety of Digital Single-Operator Cholangioscopy for Difficult Biliary Stones | - |
dc.type | Article | - |
dc.publisher.location | 미국 | - |
dc.identifier.doi | 10.1016/j.cgh.2017.10.017 | - |
dc.identifier.scopusid | 2-s2.0-85045253319 | - |
dc.identifier.wosid | 000432676600026 | - |
dc.identifier.bibliographicCitation | Clinical Gastroenterology and Hepatology, v.16, no.6, pp 918 - + | - |
dc.citation.title | Clinical Gastroenterology and Hepatology | - |
dc.citation.volume | 16 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 918 | - |
dc.citation.endPage | + | - |
dc.type.docType | Article | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Gastroenterology & Hepatology | - |
dc.relation.journalWebOfScienceCategory | Gastroenterology & Hepatology | - |
dc.subject.keywordPlus | BILE-DUCT STONES | - |
dc.subject.keywordPlus | GUIDED LASER LITHOTRIPSY | - |
dc.subject.keywordPlus | PERORAL CHOLANGIOSCOPY | - |
dc.subject.keywordPlus | ENDOSCOPIC MANAGEMENT | - |
dc.subject.keywordPlus | EXPERIENCE | - |
dc.subject.keywordPlus | CHOLANGIOPANCREATOSCOPY | - |
dc.subject.keywordPlus | DISEASE | - |
dc.subject.keywordPlus | VIDEO | - |
dc.subject.keywordAuthor | Biliary Tract | - |
dc.subject.keywordAuthor | Blockage | - |
dc.subject.keywordAuthor | Choledocholithiasis | - |
dc.subject.keywordAuthor | Gallstone | - |
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