Alabraba E, Travis S, Beckingham I. Percutaneous transhepatic cholangioscopy and lithotripsy in treating difficult biliary ductal stones: Two case reports. World J Gastrointest Endosc 2019; 11(4): 298-307 [PMID: 31040891 DOI: 10.4253/wjge.v11.i4.298]
Corresponding Author of This Article
Edward Alabraba, FRCS, Surgeon, Consultant HPB Surgeon, Department of Hepato-Pancreato-Biliary Surgery, Queen’s Medical Centre, Derby Road, Nottingham NG7 2UH, United Kingdom. edwardal@liv.ac.uk
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Endosc. Apr 16, 2019; 11(4): 298-307 Published online Apr 16, 2019. doi: 10.4253/wjge.v11.i4.298
Percutaneous transhepatic cholangioscopy and lithotripsy in treating difficult biliary ductal stones: Two case reports
Edward Alabraba, Simon Travis, Ian Beckingham
Edward Alabraba, Ian Beckingham, Department of Hepato-Pancreato-Biliary Surgery, Queen’s Medical Centre, Nottingham NG7 2UH, United Kingdom
Simon Travis, Department of Radiology, Queen’s Medical Centre, Nottingham NG7 2UH, United Kingdom
Author contributions: All authors contributed to this paper.
Informed consent statement: Informed consent was obtained from the patient.
Conflict-of-interest statement: Drs. Alabraba, Travis and Beckingham have no conflicts of interest or financial ties to disclose.
CARE Checklist (2016) statement: Information for writing case report has been adopted.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Edward Alabraba, FRCS, Surgeon, Consultant HPB Surgeon, Department of Hepato-Pancreato-Biliary Surgery, Queen’s Medical Centre, Derby Road, Nottingham NG7 2UH, United Kingdom. edwardal@liv.ac.uk
Telephone: +44-115-9249924 Fax: +44-115-8493398
Received: February 20, 2019 Peer-review started: February 20, 2019 First decision: February 26, 2019 Revised: March 15, 2019 Accepted: March 26, 2019 Article in press: March 26, 2019 Published online: April 16, 2019 Processing time: 57 Days and 4.4 Hours
Core Tip
Core tip: The purpose of this case report is to highlight the feasibility of percutaneous transhepatic cholangioscopy and lithotripsy (PTCSL) as therapy for biliary obstruction in patients with surgically altered anatomy which makes them unsuitable for conventional endoscopic retrograde cholangiopancreatography. Percutaneous transhepatic cholangiography used for emergency biliary drainage provides the access required for PTCSL, so it is reasonable to consider PTCSL in such patients. PTCSL attractively combines radiological and endoscopic techniques already established in most Hepato-Pancreato-Biliary units. Advanced endoscopic options are not widely available, and surgical options are limited as such patients are poor surgical candidates. We review the literature to compare our cases to previously reported cases of PTCSL.
