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Endoscopy 1986; 18(6): 238-239
DOI: 10.1055/s-2007-1018388
© Georg Thieme Verlag KG Stuttgart · New York

Methyl-TER-butyl Ether (MTBE) and Endoscopic Sphincterotomy

A possible solution for dissolving gallstonesL. Bonardi1 , G. Gandini2 , S. Gabasio3 , E. Fascetti2 , L. Gremo2 , D. Righi2 , R. Asnaghi2 , U. Volterrani3 , G. Verme1
  • 1Divisione di Gastroenterologia, Primario Prof. G. Verme
  • 2lstituto di Radiologia dell'Universita, Direttore Prof. G. Juliani
  • 3Divisione di Medicina Generale B, Primario Prof. U. Volterrani
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Publication History

Publication Date:
17 March 2008 (online)

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Summary

MTBE was instilled in 6 cases of lithiasis (1 intrahepatic, 5 giant common bile duct stones following EPT). The nasobiliary route (3 cases) and a percutaneous biliary drain (3 cases) were used for this purpose. Complete stone dissolution was achieved in four cases.

In the other two, volume reduction was sufficient to allow spontaneous elimination after EPT. A full clinical recovery was obtained in all cases. Further investigation is required in cases of intrahepatic and common bile duct stones when their removal by EPT is not enough to lead to clinical resolution. Follow-up is indispensable.

Key words:

MTBE - Chemical cholelitholysis - Gallstones - ERCP - EPT - PTC