Khamaysi Iyad, Hajj Eisa
Department of Gastroenterology, The Ruth and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel; Department of Gastroenterology, Rambam Health Care Campus, Haifa, Israel.
Department of Gastroenterology, Rambam Health Care Campus, Haifa, Israel.
Euroasian J Hepatogastroenterol. 2020 Jan-Jun;10(1):45-46. doi: 10.5005/jp-journals-10018-1314.
Mechanical lithotripsy is one of the well-known rescue methods for impacted common bile duct (CBD) stones. A fractured Dormia basket with a captured stone is an unusual complication and poses a special management problem. In the past, surgical intervention was the standard method. Various nonsurgical techniques have been reported. If the impaction is at the level of the papilla, extending the sphincterotomy might be sufficient. Stent insertion, endoscopic mechanical lithotripsy, extracorporeal shock wave lithotripsy, endoscopic laser lithotripsy, and transhepatic choledochoscopic lithotripsy have all been reported. In this case, we used a second basket, which is readily available and less expensive, as a rescue technique.
Khamaysi I, Hajj E. Rescuing the Rescuer: Fractured Dormia Basket and a Second Basket Rescue Technique. Euroasian J Hepato-Gastroenterol 2020;10(1):45-46.
机械碎石术是处理胆总管（CBD）结石嵌顿的一种常用补救方法。带有捕获结石的多尔米亚篮破裂是一种罕见的并发症，会带来特殊的处理难题。过去，手术干预是标准方法。已有多种非手术技术的报道。如果嵌顿发生在乳头水平，延长括约肌切开术可能就足够了。支架置入、内镜机械碎石术、体外冲击波碎石术、内镜激光碎石术和经肝胆管镜碎石术均有报道。在本病例中，我们使用了第二个容易获得且成本较低的篮子作为补救技术。
Khamaysi I, Hajj E. 拯救施救者：破裂的多尔米亚篮及第二个篮子补救技术。《欧亚肝脏胃肠病学杂志》2020；10(1):45 - 46。
