biliary and pancreatic stone extraction devices
Comparison of technical failures and patient-related adverse …
The most frequently reported patient adverse event for all 3 devices was the need for an additional procedure to remove an impacted basket. Basket impaction, in either the pancreatic duct or the bile duct, is a recognized adverse event of ERCP stone extraction and represents a medical emergency.
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Biliary and pancreatic lithotripsy devices
Fragmentation of a large bile duct stone using laser lithotripsy under cholangioscopic guidance is demonstrated in Video 2 ... and require more time to operate than standard stone extraction devices. ... (endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct[s]). This code is reportable in addition to …
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Advanced techniques for pancreaticobiliary stone extraction
Pancreaticobiliary stone extraction during endoscopic retrograde cholangiopancreatography can be challenging when working space is limited or the duct …
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The extraction of difficult bile duct stones in a patient with
Extraction of common and intrahepatic bile duct stones is generally performed endoscopically. However, stone extraction in patients with surgically altered anatomy (SAA) is sometimes difficult. 1, 2 One reason is that limited devices are available for balloon enteroscopy owing to the length and size of the working channel. A novel …
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Management of Pancreatic Duct Stones
Due to the higher risk of failure and complications associated with mechanical lithotripsy, it is used less frequently than biliary stone lithotripsy. 25 Stone extraction balloons have shown to be safer because they can be deflated and usually easily extracted if they are trapped. 26 Sharp edges of the pancreatic stones can make …
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Difficult Biliary Stones: A Comprehensive Review of New and …
Biliary stones represent the most common indication for therapeutic endoscopic retrograde cholangiopancreatography. Many cases are successfully managed with biliary sphincterotomy and stone extraction with balloon or basket catheters. However, more complex conditions secondary to the specific features of stones, the …
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Dilation assisted stone extraction for complex biliary …
Bile duct stones most frequently result from the migration of gallstones from the gallbladder into the biliary tree. Common bile duct (CBD) stones are the main indication for endoscopic retrograde cholangiopancreatography (ERCP), which has transformed bile duct stone removal from a major operation to a minimally invasive …
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Post‐endoscopic retrograde cholangiopancreatography pancreatitis …
Of these complications, post‐ERCP pancreatitis (PEP) is the most common and serious complication, which can be lethal. 6 Although endoscopic stone removal requires papillary treatment, including EST, EPBD, or EPLBD, these papillary treatments are risk factors of PEP. 4, 7 One concern is that the risk of PEP may increase when …
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Biliary and pancreatic stone extraction devices
The American Society for Gastrointestinal Endoscopy (ASGE) Technology Committee provides reviews of existing, new, or emerging endoscopic technologies that have an impact on the practice of GI endoscopy. Evidence-based methodology is employed by using a MEDLINE literature search to identify pertinent clinical studies on the topic and a …
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Olympus Launches Two New ERCP Stone Management Devices
StoneMasterV and VorticCatchV EndoTherapy Devices Aid in Removal of Challenging Bile Duct Stones Olympus announced today the launch of two new ERCP stone management devices StoneMasterV and VorticCatchV. CENTER VALLEY, Pa., (October 30, 2020) – Olympus, a global technology leader in designing and delivering innovative solutions for …
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ERCP: Preparation, Recovery, Long-Term Care
Endoscopic retrograde cholangiopancreatography (ERCP) is an invasive procedure used for the diagnosis and treatment of obstruction in the biliary system. With ERCP, a camera-equipped device is placed into the mouth and advanced for visualization of the bile ducts, gallbladder, pancreas, or liver.Often, this procedure is used for …
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Biliary and pancreatic stenting: Devices and insertion …
Stents are tubular devices made of plastic or metal. Endoscopic stenting is the most common treatment for obstruction of the common bile duct or of the main pancreatic duct, but also employed for the treatment of bilio-pancreatic leakages, for preventing post- endoscopic retrograde cholangiopancreatography pancreatitis and to …
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Biliary and pancreatic stone extraction devices
MeSH terms. Calculi / therapy*. Catheterization / instrumentation*. Endoscopy, Digestive System / instrumentation*. Gallstones / therapy*. Humans. Pancreatic Diseases / …
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Outcomes of Single-Operator Cholangioscopy-Guided …
Of these 12 patients, 1 patient had an impacted stone in the mid common bile duct and 2 patients had intrahepatic stones associated with stones in the common bile duct/common hepatic duct. Three patients (17.6%) had stones in the pancreas (median number of stones 2; range 1–3) and 2 patients (11.8%) had a single stone in the cystic …
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ERCP Stone Extraction: Simple
The groups were further subdivided into one device group and a multiple-device group. 104 cases achieved complete stone removal by only using a balloon, and 88 cases had complete stone removal by only using a basket catheter. 5/104 had pancreatitis in the balloon only group compared with 3/88 in the basket only group …
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Endoscopic extraction of large common bile duct stones: …
Endoscopic sphincterotomy followed by large balloon dilation represents the onset of a new era in large bile duct stone extraction and the management of "impaction" because it seems that is an effective, inexpensive, less traumatic, safe and easy method that does not require sophisticated apparatus and can be performed widely by skillful ...
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Management of Pancreatic Calculi: An Update
A retrospective analysis of over 100 patients showed a success rate of 9% with the use of Dormia basket. 12 In a large multicenter study the complication rate with mechanical lithotripsy was unacceptably high, thrice that when compared to biliary stone extraction. 13 ERCP directed lithotripsy techniques are far less successful and often …
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Management of Pancreatic Calculi in Chronic Pancreatitis: A …
The removal of stone or placement of stent may be facilitated by dilation of stricture. Inflammation, along with fibrosis in the vicinity of the main pancreatic duct, causes benign strictures. ... Biliary and pancreatic stone extraction devices. Adler DG, Conway JD, Farraye FA, et al. Gastrointest Endosc. ... Extracorporeal shock wave ...
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Biliary and pancreatic stone extraction devices
Stone extraction balloons and baskets are widely available and highly effective tools for the removal of biliary and pancreatic stones. These devices allow removal of stones of many sizes and configurations in the majority of patients. Baskets, especially when used …
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Prospective randomized study of endoscopic biliary stone extraction
Background: In Japan and Europe, a retrieval basket is generally used for endoscopic extraction of bile duct stones, while in the US, a retrieval balloon is mainly used. However, the efficacies of these two devices have not been previously compared. Therefore, the present multicenter, prospective, randomized study was performed to …
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Endoscopic Retrograde Biliary and/or Pancreatic Stone …
Endoscopic Retrograde Biliary and/or Panc reatic Stone Extraction or Destruction rPocedures . 2024 CODING AND REIMBURSEMENT GUIDE Coverage, coding and payment for medical procedures and devices can be complicated and confusing. This guide was developed to assist with Medicare reporting and reimbursement when performing …
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Management of Bile Duct Stones With a Combination …
stones.4 Biliary sphincterotomy before papillary balloon dilation directs force away from the pancreas, which protects from postpro-cedural pancreatitis and expands the biliary orifice, enabling facile and complete stone extraction.10 Current endoscopic society guidelines suggest performing
ادامه مطلبEndoscopic Retrograde …
Endoscopic retrograde cholangiopancreatography (ERCP) is a combined endoscopic and fluoroscopic procedure in which an upper endoscope is led into a second part of the duodenum, making it …
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Acute Biliary Pancreatitis: Diagnosis and Treatment
DISTINGUISHING BILIARY FROM OTHER FORMS OF ACUTE PANCREATITIS. The diagnosis of gallstone pancreatitis should be suspected if the patient has a prior history of biliary colic.[20,21] Although gallstone pancreatitis is the most common cause of pancreatitis, other etiologies must be considered, prior to initiating …
ادامه مطلبBiliary and pancreatic stone extraction devices
Extraction balloons. Extraction balloons are the mainstay of biliary and pan-creatic stone removal and have been used for decades.3-6 In essence, these devices are …
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Difficult Biliary Stones: A Comprehensive Review of New and …
2. Mechanical Lithotripsy. Stone size is a well-recognized factor that can influence the success of the procedure and, in particular, size above 15 mm has been identified as a risk factor for difficult extraction [13,14] (Figure 1).Other factors that can associate with difficult or incomplete stone extraction are summarized in Table …
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Biliary endoscopic sphincterotomy: Techniques and …
Core tip: Biliary endoscopic sphincterotomy (EST) is an essential procedure of the endoscopic retrograde cholangiopancreatography (ERCP) for the treatment and palliation of a wide spectrum of biliary and papillary diseases. It has some contraindications and complications. The physicians who interested in ERCP must learn …
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Olympus Launches Two New ERCP Stone Management Devices …
ERCP is a common endoscopic procedure used to study the ducts that drain the liver and pancreas in order to identify blockages in the biliary or pancreatic ducts caused by stones, tumors or ...
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Pancreatic and biliary stents
Biliary and pancreatic stents are tubular devices made of plastic or metal used primarily to establish patency of an obstructed bile or pancreatic duct. Stents may also be used to treat biliary/pancreatic leaks or to prevent post-ERCP pancreatitis. This report is an update of the technical con-siderations of available stents including ...
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Biliary and pancreatic lithotripsy devices
containing a stone becomes impacted in the bile or pancreatic duct during attempted stone extraction (Fig. 2). Integrated lithotripters function like a standard stone basket …
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