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1. 膵臓結石の体外衝撃波砕石術extracorporeal shock wave lithotripsy for pancreatic stones [show details]
…probably offer no advantage over ESWL, which is simple to perform, has high efficacy and has a low complication rate. The role of extracorporeal shock wave lithotripsy (ESWL) in the management of patients …
2. 胆嚢摘出術以外の胆のう結石症治療の概要overview of nonsurgical management of gallbladder stones [show details]
…radiolucent stones are technically amenable to fragmentation with extracorporeal shock wave lithotripsy (ESWL). However, the use of ESWL is limited by high rates of biliary colic (30 to 50 percent) and …
3. 胆道鏡検査および膵管鏡検査cholangioscopy and pancreatoscopy [show details]
… 1.2 mm working channel permits passage of miniature biopsy forceps and intraductal lithotripsy fibers .… Limited and older studies have compared EHL or laser lithotripsy with extracorporeal shock wave lithotripsy (ESWL),…
4. 膵臓ステント留置術およびその合併症の概要overview of pancreatic stenting and its complications [show details]
…guidewire or a using a needle-knife over a previously placed pancreatic stent. Extracorporeal shock wave lithotripsy (ESWL) of pancreatic stones should be considered when endoscopic procedures fail to remove …
5. 総胆管結石の内視鏡マネージメント：標準手技および機械的砕石endoscopic management of bile duct stones standard techniques and mechanical lithotripsy [show details]
…principles. Most experience with through-the-endoscope lithotriptors has been with the Olympus lithotriptors BML-3Q and BML-4Q. These lithotriptors are reusable, but cumbersome to assemble and somewhat …

Japanese Journal

内視鏡的砕石術にて治療しえたBouveret症候群の1例

山端朋子,辰巳菜津子,荻田和幸,鳥井貴司,辻和宏,伴尚美,前田利郎,丸山恭平,伊藤義人
日本消化器内視鏡学会雑誌 58(5), 1063-1068, 2016
… あり，径30mmの結石がはまり込んでいる状態であった．6年前の腹部CTと見比べると，胆嚢内にあった結石が十二指腸球部に移動し嵌頓している可能性が高いと考えられた．内視鏡下に結石をスネアや胆石用砕石鉗子を用いて除去した．結石除去後のCT検査で胆嚢十二指腸瘻が疑われ，更にガストログラフィン造影検査で十二指腸結腸瘻を認めたことから，十二指腸結腸瘻を合併したBouveret症候群であると診断した．内視 …
NAID 130005152107