Sciumè C, Geraci G, Pisello F, Li Volsi F, Cajozzo M, Modica G
Dipartimento di Discipline Chirurgiche ed Oncologiche Sezione di Chirurgia Generale ad Indirizzo Toracico, Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone, Università Degli Studi Di Palermo.
Ann Ital Chir. 2003 Mar-Apr;74(2):209-12.
The authors report their experience about the treatment of a broken Dormia in CBD in elder with "difficult" residual choledocholithiasis, with T tube.
Report of case. Evaluation of effectiveness of endoscopic treatment with 2-years follow-up.
Operative Unit of General and Thoracic Surgery, Department of Surgical, Anatomical and Oncological Disciplines. Policlinico "Paolo Giaccone"--Palermo.
Endoscopic removal of Dormia broken and impacted in CBD after 2 session of extracorporeal shock wave lithotripsy (ESWL).
Resolution of the pathology with 2 session of ERCP and cholangiographic control.
ERCP and ES are the gold standard in the treatment of choledocholithiasis. Rare complication of this method is the rupture of Dormia Basket in CBD: this occurrence can be solved by endoscopy, but only in well experienced endoscopic teams.
作者报告他们使用T管治疗老年患者胆总管内“困难”残留胆管结石时破碎的多尔米篮的经验。
病例报告。对内镜治疗效果进行为期2年的随访评估。
外科、解剖学和肿瘤学科系普通外科和胸外科手术单元。巴勒莫“保罗·贾科内”综合医院。
在进行2次体外冲击波碎石术（ESWL）后，内镜下取出破碎并嵌顿在胆总管的多尔米篮。
通过2次内镜逆行胰胆管造影术（ERCP）和胆管造影控制解决了病变。
ERCP和内镜下取石术是胆管结石治疗的金标准。该方法罕见的并发症是胆总管内多尔米篮破裂：这种情况可通过内镜解决，但仅适用于经验丰富的内镜团队。
