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Endoscopy 2003; 35(8): S31-S34
DOI: 10.1055/s-2003-41534
Biliopancreas
© Georg Thieme Verlag Stuttgart · New York

Endoscopic and Percutaneous Treatment of Difficult Bile Duct Stones

H.  Neuhaus1
  • 1 Department of Internal Medicine, Evangelisches Krankenhaus Düsseldorf, Germany
Further Information

Publication History

Publication Date:
20 August 2003 (online)

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About 90 % of ductal stones can be extracted after endoscopic sphincterotomy (EST) with routine endoscopic maneuvers. The main reasons for failure are a difficult gastroduodenal or biliary anatomy, or impacted or excessively large stones which cannot be grasped with basket catheters. Various nonsurgical procedures complementary to endoscopic retrograde cholangiopancreatography (ERCP) are available for these selected cases. For each of these methods, risks and benefits must be weighed against a surgical common bile duct exploration.

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Prof. H. Neuhaus, M. D.

Head, Department of Internal Medicine

Evangelisches Krankenhaus Düsseldorf · Kirchfeldstrasse 40 · 40217 Düsseldorf · Germany

Fax: + 49-211-919-3960 ·

Email: medizinischeklinik@evk-duesseldorf.de

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