Carr-Locke et al., "Mechanical lithotripsy of pancreatic and biliary stones
: Complications and available treatment options collected from expert centers," American Journal of Gastroenterology, vol.
USG is used to evaluate patients for biliary stones
Biliary obstruction is common in clinical practice and in most instances is due to biliary stones
Briefly describe the product: These are Bipolar Electro-Hydraulic Lithotripsy systems designed for effective fragmentation of urinary and biliary stones
via natural body channels, laparoscopically or percutaneously.
The management of PB is complex in patients who present with variceal bleeding and clinically significant biliary obstruction, especially when the case is further complicated by biliary stones
Ultrasound may identify radiolucent biliary stones
in the middle of the inflammatory mass by detecting the hyperechoic acoustic signals from these stones.
In Japan and Southeast Asia, hepatolithiasis due to recurrent pyogenic cholangitis with biliary stones
is a more common risk factor for biliary malignancy.
This anatomic location is of clinical significance, since it is associated with increased incidence of biliary stones
, pancreatitis, and other biliary and pancreatic anomalies.
Although ERCP was initially a diagnostic procedure, the vast majority of cases now include therapeutic intervention performed with endoscopic accessory devices such as biopsy forceps, stone retrieval baskets and probes that administer electrohydraulic lithotripsy to break up biliary stones
. The SpyGlass System will allow a single physician to perform both diagnostic and therapeutic procedures under direct vision.
If these therapies fail, surgery is the last choice to release the trapped Dormia basket and remove biliary stones