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Multidisciplinary Management of Common Bile Duct Stones pp 77–83Cite as

Percutaneous Methods of Common Bile Duct Stone Retrieval

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Abstract

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.

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Abbreviations

ERCP:

Endoscopic retrograde cholan-giopancreatography

PTGB-RV:

Percutaneous transgallbladder rendezvous technique

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Author information

Authors and Affiliations

  1. Division of Vascular and Interventional Radiology, Department of Radiology, Wexner Medical Center, The Ohio State University, 395 W 12th Ave., Suite 424, Columbus, OH, 43210, USA

    Joshua D. Dowell M.D., Ph.D. & Annie Lim D.O.

  2. Division of Vascular and Interventional Radiology, Department of Radiology, Einstein Medical Center, Philadelphia, PA, USA

    Jeffrey Weinstein M.D.

  3. Division of Vascular and Interventional Radiology, Department of Radiology, The Ohio State University Wexner Medical Center, 395 W 12th Ave., 4th Floor, Columbus, OH, 43210, USA

    Gregory E. Guy M.D.

Authors
  1. Joshua D. Dowell M.D., Ph.D.
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  2. Jeffrey Weinstein M.D.
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  3. Annie Lim D.O.
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  4. Gregory E. Guy M.D.
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Corresponding author

Correspondence to Joshua D. Dowell M.D., Ph.D. .

Editor information

Editors and Affiliations

  1. The Ohio State University Wexner Medical Center, Chief, Division of General and Gastrointestinal Surgery,, Department of Surgery,, Columbus, Ohio, USA

    Jeffrey W. Hazey

  2. The Ohio State University Wexner Medical Center, Director, Division of Gastroenterology, Hepatology, and Nutrition, Professor of Medicine, Department of Internal Medicine,, Columbus, Ohio, USA

    Darwin L. Conwell

  3. The Ohio State University Wexner Medical Center, Division of Vascular and Interventional Radiology, Department of Radiology, Columbus, Ohio, USA

    Gregory E. Guy

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© 2016 Springer International Publishing Switzerland

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Dowell, J.D., Weinstein, J., Lim, A., Guy, G.E. (2016). Percutaneous Methods of Common Bile Duct Stone Retrieval. In: Hazey, J., Conwell, D., Guy, G. (eds) Multidisciplinary Management of Common Bile Duct Stones. Springer, Cham. https://doi.org/10.1007/978-3-319-22765-8_9

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  • DOI: https://doi.org/10.1007/978-3-319-22765-8_9

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-22764-1

  • Online ISBN: 978-3-319-22765-8

  • eBook Packages: MedicineMedicine (R0)

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