Efficacy and safety of SpyGlass system combined with electrohydraulic lithotripsy during endoscopic retrograde cholangiopancreatography in treatment of difficult common bile duct stones

Yijun LIU; Qiao WU

doi:10.3969/j.issn.1001-5256.2021.07.032

Volume 37 Issue 7

Jul. 2021

Turn off MathJax

Article Contents

Abstract

References

Article Navigation > Journal of Clinical Hepatology > 2021 > 37(7): 1644-1647

PDF( 2277 KB)

Efficacy and safety of SpyGlass system combined with electrohydraulic lithotripsy during endoscopic retrograde cholangiopancreatography in treatment of difficult common bile duct stones

DOI: 10.3969/j.issn.1001-5256.2021.07.032

Yijun LIU¹,
Qiao WU^{2
,
,}

1.
Department of Hepatobiliary Surgery, People's Hospital of Rongchang County, Chongqing 402460, China
2.
Department of Hepatobiliary Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400042, China

Received Date: 2020-12-30
Accepted Date: 2021-04-15
Published Date: 2021-07-20

Abstract

Abstract

Objective To investigate the efficacy and safety of SpyGlass system combined with electrohydraulic lithotripsy during endoscopic retrograde cholangiopancreatography (ERCP) in the treatment of difficult common bile duct stones. Methods A total of 20 patients who used the SpyGlass system combined with electrohydraulic lithotripsy during ERCP for the treatment of difficult common bile duct stones in Department of Hepatobiliary Surgery, The First Affiliated Hospital of Chongqing Medical University, from December 2019 to May 2020 were enrolled. Liver function, blood amylase, and blood lipase were measured after surgery; the patients were observed in terms of body temperature, abdominal pain, hematobilia, infection, and perforation; the presence or absence of residual common bile duct stones was reexamined after surgery. Results Of all 20 patients, 18 underwent successful lithotripsy on the first attempt without serious complications, and 2 underwent ERCP-guided basket extraction and biliary tract cleaning with balloon due to residual stones found in the reexamination after surgery and achieved complete removal of stones. No biliary tract perforation or massive hemorrhage was observed; there was mild pancreatitis after surgery, which was improved after pharmacotherapy; some patients had increased levels of blood amylase and lipase, without any clinical symptom; there was a significant improvement in liver function after surgery. Abdominal color Doppler ultrasound performed for all patients at 3 months after cholecystolithotomy showed no residual common bile duct stones. Conclusion SpyGlass system combined with electrohydraulic lithotripsy during ERCP has a high first-attempt success rate of complete removal of stones in the treatment of difficult common bile duct stones, without marked surgical complications.
- Choledocholithiasis,
- Cholangiopancreatography, Endoscopic Retrograde,
- SpyGlass,
- Lithotripsy

FullText(HTML)

References(14)

References

[1]	BOKEMEYER A, GERGES C, LANG D, et al. Digital single-operator video cholangioscopy in treating refractory biliary stones: A multicenter observational study[J]. Surg Endosc, 2020, 34(5): 1914-1922. DOI: 10.1007/s00464-019-06962-0.
[2]	LIN M, FAN ZN, HUANG J. Application progress of peroral choledochoscopy[J]. Chin J Min Inv Surg, 2018, 24(4): 338-340. DOI: 10.3969/j.issn.1009-6604.2018.04.013. 林敏, 范志宁, 黄锦. 经口胆道镜的应用进展[J]. 中国微创外科杂志, 2018, 24(4): 338-340. DOI: 10.3969/j.issn.1009-6604.2018.04.013.
[3]	KURIHARA T, YASUDA I, ISAYAMA H, et al. Diagnostic and therapeutic single-operator cholangiopancreatoscopy in biliopancreatic diseases: Prospective multicenter study in Japan[J]. World J Gastroenterol, 2016, 22(5): 1891-1901. DOI: 10.3748/wjg.v22.i5.1891.
[4]	FRANZINI T, CARDARELLI-LEITE L, FIGUEIRA E, et al. SpyGlass percutaneous transhepatic cholangioscopy-guided lithotripsy of a large intrahepatic stone[J]. Endoscopy, 2017, 49(12): e292-292e293. DOI: 10.1055/s-0043-117943.
[5]	ABURAJAB M, DUA K. Endoscopic management of difficult bile duct stones[J]. Curr Gastroenterol Rep, 2018, 20(2): 8. DOI: 10.1007/s11894-018-0613-1.
[6]	WONG JC, TANG RS, TEOH AY, et al. Efficacy and safety of novel digital single-operator peroral cholangioscopy-guided laser lithotripsy for complicated biliary stones[J]. Endosc Int Open, 2017, 5(1): e54-e58. DOI: 10.1055/s-0042-118701.
[7]	LALEMAN W, VERRAES K, van STEENBERGEN W, et al. Usefulness of the single-operator cholangioscopy system SpyGlass in biliary disease: A single-center prospective cohort study and aggregated review[J]. Surg Endosc, 2017, 31(5): 2223-2232. DOI: 10.1007/s00464-016-5221-2.
[8]	COLOMBI D, ARAGONA G, BODINI FC, et al. SpyGlass percutaneous transhepatic cholangioscopy-guided diagnosis of adenocarcinoma of the ampullary region in a patient with bariatric biliopancreatic diversion[J]. Hepatobiliary Pancreat Dis Int, 2019, 18(3): 291-293. DOI: 10.1016/j.hbpd.2019.03.002.
[9]	YAN S, TEJASWI S. Clinical impact of digital cholangioscopy in management of indeterminate biliary strictures and complex biliary stones: A single-center study[J]. Ther Adv Gastrointest Endosc, 2019, 12: 2631774519853160. DOI: 10.1177/2631774519853160.
[10]	CHEN YK. Preclinical characterization of the Spyglass peroral cholangiopancreatoscopy system for direct access, visualization, and biopsy[J]. Gastrointest Endosc, 2007, 65(2): 303-311. DOI: 10.1016/j.gie.2006.07.048.
[11]	HAMMERLE CW, HAIDER S, CHUNG M, et al. Endoscopic retrograde cholangiopancreatography complications in the era of cholangioscopy: Is there an increased risk?[J]. Dig Liver Dis, 2012, 44(9): 754-758. DOI: 10.1016/j.dld.2012.04.024.
[12]	KALAITZAKIS E, WEBSTER GJ, OPPONG KW, et al. Diagnostic and therapeutic utility of single-operator peroral cholangioscopy for indeterminate biliary lesions and bile duct stones[J]. Eur J Gastroenterol Hepatol, 2012, 24(6): 656-664. DOI: 10.1097/MEG.0b013e3283526fa1.
[13]	DU L, D′SOUZA P, THIESEN A, et al. Percutaneous transhepatic cholangioscopy for indeterminate biliary strictures using the SpyGlass system: A case series[J]. Endoscopy, 2015, 47(11): 1054-1056. DOI: 10.1055/s-0034-1392527.
[14]	XU W, MIAO L, WANG ZF, et al. Application of SpyGlass TM DS direct visualization system in the diagnosis and treatment of biliary tract diseases[J]. J Clin Hepatol, 2020, 36(11): 2626-2629. DOI: 10.3969/j.issn.1001-5256.2020.11.052. 徐雯, 苗龙, 王正峰, 等. SpyGlass TM DS直视化系统在胆道疾病诊疗中的应用[J]. 临床肝胆病杂志, 2020, 36(11): 2626-2629. DOI: 10.3969/j.issn.1001-5256.2020.11.052.

Relative Articles

Supplements(0)

Cited By

Cited by

Periodical cited type(12)

1.	陶丽莹，王宏光，郭庆梅，朴连玉，郭享，阮丽斌，刘时助，孙震. 内镜逆行胰胆管造影联合eyeMax胆胰成像系统直视下液电碎石治疗困难胆管结石效果观察. 临床肝胆病杂志. 2024(02): 351-355 . 本站查看
2.	刘姣，朱巧，范建梅. 内镜逆行胰胆管造影术中使用胰胆直视成像系统联合激光碎石治疗胆总管复杂结石的分析. 医学研究与战创伤救治. 2024(02): 177-180 .
3.	刘晓艳，杨亚苹，韩文雄. 多层螺旋计算机断层扫描技术与磁共振胰胆管造影技术诊断胆总管结石的临床价值. 包头医学. 2024(02): 10-12 .
4.	马丽娜·阿新拜，张立平，王林恒，王允亮，陈润花，孟捷，胡立明，姚玉璞. 经ERCP联合SpyGlass DS治疗的74例不明原因胆管狭窄患者的临床特征分析. 胃肠病学和肝病学杂志. 2024(08): 1037-1044 .
5.	艾合买江·库尔班江，布娅·米然别克，王秋玲，李得阳，高峰. SpyGlass DS系统联合激光碎石法与常规分次治疗胆总管大结石的效果和安全性的对比分析. 中国内镜杂志. 2024(08): 12-17 .
6.	郭志新，王俊，余晓，关天佑，于芳芳. NTrap网篮联合输尿管软镜钬激光术治疗上段输尿管结石的效果及预后观察. 医药论坛杂志. 2024(16): 1703-1707 .
7.	叶国华，姜继豪，王小方. 腹腔镜下联合胆道镜、术中超声及液电碎石仪治疗复杂肝内胆管结石的效果. 中国当代医药. 2024(31): 20-23 .
8.	刘杨军，李纪男. ERCP治疗高龄胆总管结石的效果. 中国老年学杂志. 2024(24): 5935-5937 .
9.	王毅兰，李喆楠，王军民. SpyGlass在胆胰疾病诊治中的研究进展. 河北医科大学学报. 2023(02): 241-245 .
10.	刘炯，汪向飞，江斌. SpyGlass系统在困难胆囊腹腔镜胆囊切除术中的应用价值. 临床外科杂志. 2023(10): 925-927 .
11.	濮天，陈江明，郭旗，蒋东，李子寒，刘付宝，耿小平. 精准肝切除术治疗复发性单侧肝内胆管结石的临床疗效及预后影响因素分析. 中华消化外科杂志. 2022(02): 273-280 .
12.	陈安，柏强善，谭凯. 对胆囊结石合并胆总管结石的老年患者实施腹腔镜胆囊切除术联合内镜逆行胰胆管造影术的临床疗效. 中国内镜杂志. 2022(11): 57-64 .

Other cited types(4)

Proportional views

Proportional views

通讯作者: 陈斌, bchen63@163.com

1.
沈阳化工大学材料科学与工程学院沈阳 110142

Figures(4)

Get Citation

PDF

XML

Article Metrics

Article views (1102) PDF downloads(45)

Efficacy and safety of SpyGlass system combined with electrohydraulic lithotripsy during endoscopic retrograde cholangiopancreatography in treatment of difficult common bile duct stones

DOI: 10.3969/j.issn.1001-5256.2021.07.032