Successful endoscopic treatment of colonic gallstone ileus using electrohydraulic lithotripsy

作     者：Martin D Zielinski Lincoln E Ferreira Todd H Baron 

作者机构：Division of TraumaCritical Care and General Surgery Department of MedicineFederal University of Juiz de Fora Department of Gastroenterology and Hepatology 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2010年第16卷第12期

页      面：1533-1536页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Gallstone ileus Endoscopy Electrohydraulic lithotripsy Bowel obstruction Colon 

摘      要：The surgical management of gallstone ileus is complex and potentially highly *** management requires enterolithotomy and is generally followed by fistula resection at a later *** 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 *** 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 *** stone fragments were *** lithotripsy is a safe and effective method to treat colonic obstruction in the setting of gallstone ileus.