It is well known that impacted biliary stones are difficult to remove endoscopically.Among the many factors associated with failure of endoscopic therapy for removal of bile duct stones,impaction ranks high.One of the...It is well known that impacted biliary stones are difficult to remove endoscopically.Among the many factors associated with failure of endoscopic therapy for removal of bile duct stones,impaction ranks high.One of the reasons behind failure of endoscopic therapy in such cases is that the impacted stone often does not allow passage of a guidewire.Recent introduction of a novel single-operator cholangioscopy system has made it possible for a single endoscopist to use cholangioscopy for evaluation and treatment of a wide variety of biliary disorders.This cholangioscopy system was used for placement of a guidewire in the cystic duct remnant with subsequent removal of an impacted stone which had prevented passage of a guidewire by conventional means.展开更多
Liver transplantation (LT) has become a common 'method for end-stage liver disease. Although the incidence of biliary complications after LT has decreased to 8% to 20% in recent years, it is still one of the main f...Liver transplantation (LT) has become a common 'method for end-stage liver disease. Although the incidence of biliary complications after LT has decreased to 8% to 20% in recent years, it is still one of the main factors affecting the life quality and long-term survival of recipients. As an uncommon complication, the mucocele formation of cystic duct remnant may compress or obstruct the common hepatic duct and result in injury to the liver graft.展开更多
文摘It is well known that impacted biliary stones are difficult to remove endoscopically.Among the many factors associated with failure of endoscopic therapy for removal of bile duct stones,impaction ranks high.One of the reasons behind failure of endoscopic therapy in such cases is that the impacted stone often does not allow passage of a guidewire.Recent introduction of a novel single-operator cholangioscopy system has made it possible for a single endoscopist to use cholangioscopy for evaluation and treatment of a wide variety of biliary disorders.This cholangioscopy system was used for placement of a guidewire in the cystic duct remnant with subsequent removal of an impacted stone which had prevented passage of a guidewire by conventional means.
基金the National Basic Research Program of China(2003CB515501)
文摘Liver transplantation (LT) has become a common 'method for end-stage liver disease. Although the incidence of biliary complications after LT has decreased to 8% to 20% in recent years, it is still one of the main factors affecting the life quality and long-term survival of recipients. As an uncommon complication, the mucocele formation of cystic duct remnant may compress or obstruct the common hepatic duct and result in injury to the liver graft.