Transhepatic Cholangioscopy in the Treatment of Choledocholithiasis

České info

Transhepatální cholangioskopie v léčběcholedocholitiázy

V léčbě choledocholitiázy mají endoskopické metody zásadní postavení. Při selhání endoskopické retrográdnícholangiografie (ERC) je dalším alternativním postupem transhepatální cholangioskopie zejména v kombinacis kontaktní litotrypsí. Metoda je především indikována u nemocných s tzv. obtížnou litiázou. Po perkutánní transhepatálnícholangiografii (PTC) následuje zevní drenáž žlučových cest, dilatace intrahepatálního kanálu a samotnácholangioskopie s litotrypsí. Úspěšnost metody dosahuje 90–100 %. Počet závažných komplikací nepřesahuje5–7,5 %.

Klíčová slova:
choledocholitiáza, transhepatální cholangioskopie, litotrypse.

Authors: J. Petrtýl; R. Brůha
Authors‘ workplace: IV. interní klinika 1. LF UK a VFN, Praha
Published in: Čas. Lék. čes. 2003; : 603-605
Category:

Overview

Endoscopicmethods gained the leading position in the treatment of choledocholithiasis. Transhepatic cholangioscopyand contact lithotripsy is used, if standards methods (ERC) are not successful. The transhepatic approach ispredominantly used for the therapy of complicated choledocholithiasis. Cholangioscopy and lithotripsy can beperformed after PTC, external drainage of bile ducts and dilatation of intrahepatic channel. The success rate fortranshepatic methods is 90 to 100 %, the major complication rate is 5 to 7,5 %.

Key words:
choledocholithiasis, transhepatic cholangioscopy, lithotripsy.

Full text is not available online.

If interested in a scan of this journal, contact NTO ČLS JEP.

Labels

Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental Hygienist

Problematic Situations Between Health Care Workers and PatientsCompetent Analysis of Patient’s Appeal from the Medicine-Psychological View

Fibrinolytic Treatment of Acute MyocardialInfarction

Cardiogenic Shock – Complex Therapeutical Approach

New Insight into Immunopathology of Viral B and C Hepatitis

Cell and Tissue Hypoxia – The Role of von Hippel-Lindau Gene and Hypoxia Inducible Factor-1

Psychosocial Factors Associated with Genetic Testing for Some ofHereditary Forms of Cancer

Bone Metabolism in Heroin Addicts and after Methadone Maintenance Treatment

Methodological Possibilities for the Determination of the Number of CTG/CAGRepeats in Triplet Repeat Units of the Human Genome

Laboratory Markers of EndothelialInvolvement in Rheumatic Diseases with Vasculitis in Childhood

Viability of the Parathyroid Gland Tissue Measured by Flow Cytometry

Clinical Epidemiology – the Diagnosis

Protective Care of Children in the Czech Republic and the Convention on the Rights of the Child