A case of gallstone ileus successfully treated by the combination therapy of electrohydraulic lithotripsy and double balloon endoscopy

DOI 1 Citations 9 References
  • Kamada Hideki
    Department of Gastroenterology and Neurology, Kagawa University School of Medicine
  • Uchida Naohito
    Department of Gastroenterology and Neurology, Kagawa University School of Medicine
  • Ono Masahiro
    Department of Gastroenterology and Neurology, Kagawa University School of Medicine
  • Aritomo Yuichi
    Department of Gastroenterology and Neurology, Kagawa University School of Medicine
  • Tsutsui Kunihiko
    Department of Gastroenterology and Neurology, Kagawa University School of Medicine

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Other Title
  • ダブルバルーン内視鏡を用いて電気水圧衝撃波結石破砕術で治療し得た胆石イレウスの一例

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Abstract

Double balloon endoscopy (DBE) is a novel technique for the diagnosis and treatment of the small bowel. We endoscopically treated a case with ileus from an impacted gallstone in the duodenum. A 70-year-old woman was referred to our hospital because of vomiting. Abdominal CT and duodenoscopy showed an impacted calcified gallstone 4cm in diameter in the second portion of the duodenum. We attempted to remove the stone endoscopically using electrohydraulic lithotripsy (EHL). Then we performed EHL with duodenoscopy; however, the gallstone, which had gotten smaller from the first session of EHL, passed into the small bowel. Therefore, we performed further EHL treatment using DBE. After two sessions of EHL using DBE, the stone could be fragmented. Abdominal CT performed 7 days after the last session of EHL therapy showed complete disappearance of the stone. We recommend that endoscopic treatment including the combination of EHL and DBE is considered before the decision for surgery is made.

Journal

  • Tando

    Tando 21 (5), 647-651, 2007

    Japan Biliary Association

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