None listed
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1)Patients with bile duct stones in whom conventional endoscope stone removal, including mechanical lithotripsy (ML), had failed 2)Previous sphincteroplasty such as endoscopic sphincterotomy (EST) and/or endoscopic papillary balloon dilation (EPBD) 3) distal common bile duct (CBD) dilation more than 8 mm
Exclusion criteria
Exclusion criteria: 1)Stricture of the distal CBD 2)Diagnosis of periampullary cancer 3)Presence of intrahepatic duct (IHD) stones 4)Bleeding tendency : platelet count < 60,000/mm3 or international normalized ratio > 1.5 5)Refusal to participate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| complete ductal clearance | — |
Secondary
| Measure | Time frame |
|---|---|
| Technical success of direct POC Technical success of direct POC-guided lithotripsy Rate of additional ML use Number of ERCP sessions for complete stone removal Procedure time for direct POC-guided lithotripsy | — |
Countries
Asia(except Japan)
Contacts
SoonChunHyang University School of Medicine Digestive Disease Center and Research Institute, Department of Internal Medicine