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

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

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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

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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.

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沈阳化工大学材料科学与工程学院沈阳 110142

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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