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Endoscopic laser lithotripsy of large bile duct stones.

Publication ,  Journal Article
Cotton, PB; Kozarek, RA; Schapiro, RH; Nishioka, NS; Kelsey, PB; Ball, TJ; Putnam, WS; Barkun, A; Weinerth, J
Published in: Gastroenterology
October 1990

Experimental work has established that the Candela (Candela Laser Corporation, Wayland, MA) flashlamp excited dye laser (wavelength, 504 nm) is a highly effective method for fragmenting biliary stones and has minimal potential for injuring the bile duct wall. This technique was evaluated in 25 complex patients whose stones, usually because of large size, did not respond to standard nonoperative treatment. The laser imaging was applied through a quartz fiber and aimed either under direct vision with choledochoscopes passed percutaneously or through a special "mother" duodenoscope or under fluoroscopic guidance at standard duodenoscopy. Laser treatment resulted in some fragmentation of stones in 23 cases. Subsequently, it proved that it was possible to clear the bile duct of stones in 20 patients, 12 of them receiving successful treatment during the same endoscopic procedure. There were no significant complications. This endoscopic technique seems to be a useful new alternative to surgery in patients with large and difficult bile duct stones.

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Published In

Gastroenterology

DOI

ISSN

0016-5085

Publication Date

October 1990

Volume

99

Issue

4

Start / End Page

1128 / 1133

Location

United States

Related Subject Headings

  • Male
  • Lithotripsy, Laser
  • Lithotripsy
  • Laser Therapy
  • Humans
  • Gastroenterology & Hepatology
  • Female
  • Endoscopy
  • Cholelithiasis
  • Cholangiography
 

Citation

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Cotton, P. B., Kozarek, R. A., Schapiro, R. H., Nishioka, N. S., Kelsey, P. B., Ball, T. J., … Weinerth, J. (1990). Endoscopic laser lithotripsy of large bile duct stones. Gastroenterology, 99(4), 1128–1133. https://doi.org/10.1016/0016-5085(90)90634-d
Cotton, P. B., R. A. Kozarek, R. H. Schapiro, N. S. Nishioka, P. B. Kelsey, T. J. Ball, W. S. Putnam, A. Barkun, and J. Weinerth. “Endoscopic laser lithotripsy of large bile duct stones.Gastroenterology 99, no. 4 (October 1990): 1128–33. https://doi.org/10.1016/0016-5085(90)90634-d.
Cotton PB, Kozarek RA, Schapiro RH, Nishioka NS, Kelsey PB, Ball TJ, et al. Endoscopic laser lithotripsy of large bile duct stones. Gastroenterology. 1990 Oct;99(4):1128–33.
Cotton, P. B., et al. “Endoscopic laser lithotripsy of large bile duct stones.Gastroenterology, vol. 99, no. 4, Oct. 1990, pp. 1128–33. Pubmed, doi:10.1016/0016-5085(90)90634-d.
Cotton PB, Kozarek RA, Schapiro RH, Nishioka NS, Kelsey PB, Ball TJ, Putnam WS, Barkun A, Weinerth J. Endoscopic laser lithotripsy of large bile duct stones. Gastroenterology. 1990 Oct;99(4):1128–1133.
Journal cover image

Published In

Gastroenterology

DOI

ISSN

0016-5085

Publication Date

October 1990

Volume

99

Issue

4

Start / End Page

1128 / 1133

Location

United States

Related Subject Headings

  • Male
  • Lithotripsy, Laser
  • Lithotripsy
  • Laser Therapy
  • Humans
  • Gastroenterology & Hepatology
  • Female
  • Endoscopy
  • Cholelithiasis
  • Cholangiography