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29-03-2022 | Endoscopic Retrograde Cholangiography | Review

Management of Difficult Choledocholithiasis

Authors: Alexander Podboy, Srinivas Gaddam, Kenneth Park, Kapil Gupta, Quin Liu, Simon K. Lo

Published in: Digestive Diseases and Sciences | Issue 5/2022

Abstract

Over 30% of all endoscopic retrograde cholangiography procedures in the US are associated with biliary stone extraction, and over 10–15% of these cases are noted to be complex or difficult. The aim of this review is to define the characteristics of difficult common bile duct stones and provide an algorithmic therapeutic approach to these difficult cases. We describe additional special clinical circumstances in which difficult biliary stones are identified and provide additional management strategies to aid endoscopic stone extraction efforts.

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Title: Management of Difficult Choledocholithiasis
Authors: Alexander Podboy
Srinivas Gaddam
Kenneth Park
Kapil Gupta
Quin Liu
Simon K. Lo
Publication date: 29-03-2022
Publisher: Springer US
Keywords: Endoscopic Retrograde Cholangiography
Choledocholithiasis
Published in: Digestive Diseases and Sciences / Issue 5/2022
Print ISSN: 0163-2116
Electronic ISSN: 1573-2568
DOI: https://doi.org/10.1007/s10620-022-07424-9

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