Percutaneous Methods of Common Bile Duct Stone Retrieval

  • Joshua D. DowellEmail author
  • Jeffrey Weinstein
  • Annie Lim
  • Gregory E. Guy


Percutaneous transhepatic stone removal, most commonly by expulsion into the duodenum through the papilla, is an effective and safe alternative to surgery particularly when endoscopic stone extraction has failed or is not possible. In specific patient populations, such as following Billroth II gastrectomy or laparoscopic Roux-en-Y gastric bypass, percutaneous approaches may be the best option for patients with symptomatic choledocholithiasis. With the increase in global obesity, the need for bariatric surgery will continue to incline in the future. Given the association of gallstones in bariatric patients following surgery, an increasing number of patients with surgically altered anatomy will require management for symptomatic stones. Therefore, an understanding of transhepatic percutaneous approaches is important to provide optimal care for these patients and those that are not candidates for ERCP.


Percutaneous access Endoscopic retrograde cholangiopancreatography (ERCP) T-tube Balloon dilation Billroth II gastrectomy stone removal 



Endoscopic retrograde cholan-giopancreatography


Percutaneous transgallbladder rendezvous technique


The authors report no conflicts of interest


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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Joshua D. Dowell
    • 1
    Email author
  • Jeffrey Weinstein
    • 2
  • Annie Lim
    • 1
  • Gregory E. Guy
    • 3
  1. 1.Division of Vascular and Interventional Radiology, Department of Radiology, Wexner Medical CenterThe Ohio State UniversityColumbusUSA
  2. 2.Division of Vascular and Interventional Radiology, Department of RadiologyEinstein Medical CenterPhiladelphiaUSA
  3. 3.Division of Vascular and Interventional Radiology, Department of RadiologyThe Ohio State University Wexner Medical CenterColumbusUSA

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