Endoscopic lithotomy of common bile duct stones with sublingual nitroglycerin and guidewire.
Am J Gastroenterol
; 92(9): 1440-3, 1997 Sep.
Article
em En
| MEDLINE
| ID: mdl-9317059
ABSTRACT
OBJECTIVE:
In 21 patients, our objective was the endoscopic removal of common bile duct stones by sphincter dilation with the application of sublingual nitroglycerin.METHODS:
Nitroglycerin 0.3-0.6 mg was needed for proper dilation of the orifice and for successful cannulation of the Dormia basket into the bile duct. Cannulation of the Dormia basket was simplified by placing the guidewire in the common bile duct beforehand. Because of possible stone impaction, a mechanical lithotriptor was applied smoothly in two patients.RESULTS:
Complete stone removal was successful in 18 of the 21 (86%) patients. One patient who developed a mild form of acute pancreatitis recovered in a few days by conservative management with drip infusion of protease inhibitor. Blood pressure dropped transiently in a patient receiving nitroglycerin, but the general condition of the patient was stable.CONCLUSIONS:
This procedure was found to be safe, easy, and effective in extracting common bile duct stones.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Vasodilatadores
/
Cálculos Biliares
/
Esfinterotomia Endoscópica
/
Nitroglicerina
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Am J Gastroenterol
Ano de publicação:
1997
Tipo de documento:
Article