TY - JOUR
T1 - Successful endoscopic treatment of colonic gallstone ileus using electrohydraulic lithotripsy
AU - Zielinski, Martin D.
AU - Ferreira, Lincoln E.
AU - Baron, Todd H.
N1 - Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2010/3/28
Y1 - 2010/3/28
N2 - The surgical management of gallstone ileus is complex and potentially highly morbid. Initial management requires enterolithotomy and is generally followed by fistula resection at a later date. There have been reports of gallstone extraction using various endoscopic modalities to relieve the obstruction, however, to date, there has never been a published case of endoscopic stone extraction from the colon using electrohydraulic lithotripsy. In this report, we present the technique employed to successfully perform an electrohydraulic lithotripsy for removal of a large gallstone impacted in the sigmoid colon. A cavity was excavated in an obstructing 4.1 cm lamellated stone in the sigmoid colon using electrohydraulic lithotripsy. A screw stent retractor and stent extractor bored a larger lumen which allowed for guidewire advancement and stone fracture via serial pneumatic balloon dilatation. The stone fragments were removed. Electrohydraulic lithotripsy is a safe and effective method to treat colonic obstruction in the setting of gallstone ileus.
AB - The surgical management of gallstone ileus is complex and potentially highly morbid. Initial management requires enterolithotomy and is generally followed by fistula resection at a later date. There have been reports of gallstone extraction using various endoscopic modalities to relieve the obstruction, however, to date, there has never been a published case of endoscopic stone extraction from the colon using electrohydraulic lithotripsy. In this report, we present the technique employed to successfully perform an electrohydraulic lithotripsy for removal of a large gallstone impacted in the sigmoid colon. A cavity was excavated in an obstructing 4.1 cm lamellated stone in the sigmoid colon using electrohydraulic lithotripsy. A screw stent retractor and stent extractor bored a larger lumen which allowed for guidewire advancement and stone fracture via serial pneumatic balloon dilatation. The stone fragments were removed. Electrohydraulic lithotripsy is a safe and effective method to treat colonic obstruction in the setting of gallstone ileus.
KW - Bowel obstruction
KW - Colon
KW - Electrohydraulic lithotripsy
KW - Endoscopy
KW - Gallstone ileus
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U2 - 10.3748/wjg.v16.i12.1533
DO - 10.3748/wjg.v16.i12.1533
M3 - Article
C2 - 20333797
AN - SCOPUS:77950792966
SN - 1007-9327
VL - 16
SP - 1533
EP - 1536
JO - World journal of gastroenterology
JF - World journal of gastroenterology
IS - 12
ER -