Endoscopy 2018; 50(04): S192
DOI: 10.1055/s-0038-1637628
ESGE Days 2018 ePosters
Georg Thieme Verlag KG Stuttgart · New York

EFFICACY OF SPYGLASS-GUIDED ELECTROHYDRAULIC LITHOTRIPSY (EHL) IN DIFFICULT BILE DUCT STONES

I Moschos
1   Gastrointestinal Endoscopy Unit, Democritus University of Thrace, University General Hospital, Alexandroupolis, Greece
,
D Paikos
2   General Hospital Agios Demetrios, thessalolniki, Greece
,
C Kosmidis
3   AHEPA Hospital, Thessaloniki, Greece
,
K Skendros
1   Gastrointestinal Endoscopy Unit, Democritus University of Thrace, University General Hospital, Alexandroupolis, Greece
,
F Mouallimoglou
1   Gastrointestinal Endoscopy Unit, Democritus University of Thrace, University General Hospital, Alexandroupolis, Greece
,
C Papagoras
1   Gastrointestinal Endoscopy Unit, Democritus University of Thrace, University General Hospital, Alexandroupolis, Greece
,
K Ritis
1   Gastrointestinal Endoscopy Unit, Democritus University of Thrace, University General Hospital, Alexandroupolis, Greece
,
G Kouklakis
1   Gastrointestinal Endoscopy Unit, Democritus University of Thrace, University General Hospital, Alexandroupolis, Greece
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Publikationsverlauf

Publikationsdatum:
27. März 2018 (online)

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Aims:

We aimed to evaluate the efficacy and safety of Spyglass-guided electrohydraulic lithotripsy (EHL) in treating common bile duct stones (CBD) not amenable to conventional endoscopic therapy “difficult CBD stones”, in a single center.

Methods:

All patients underwent Spyglass-guided EHL from August to November of 2017.

Results:

A total number of 9 patients underwent Spyglass-guided EHL. The majority (65%) of them were females. The mean age was 67,5 years (from 21 to 85). Bile duct clearance was achieved in all of them (100%). Eighty-nine percent required only one ERCP to clear the CBD and 11% required two ERCPs. Only in one patient there was an elevation of amylase to 1000 without pain. In one male patient 79 years old (11%) there was a diagnosis with the spyglass of a very small cholangiocarcinoma below the bile duct stone.

Conclusions:

Spyglass-guided EHL is a very effective procedure in treating “difficult CBD stones”.