Endoscopic removal of impacted Dormia basket | 合法醫療器材資訊網

Inmostcases,theyaresuccessfullyextractedwithEndoscopicRetrogradeCholangiopancreatography(ERCP)andendoscopicsphincterotomy(ES)usingaDormia ...

Endoscopic procedures are widely used for the management of bile duct stones. Pancreatitis, haemorrhage, cholangitis and intestinal perforation are the most commonly reported complications. Impaction of stone-retrieving devices such as Dormia basket is rare. It can be removed using a smaller basket, balloons, percutaneous transhepatic removal, laparoscopic retrieval or even through laparotomy. In our case, it was feasible and safe using the post cut technique which is a type of a second biliary sphincterotomy performed after a previous sphincterotomy in order to enlarge the papillary orifice and to extract the impacted Dormia basket.

common bile duct stone, impacted Dormia basket, post cut

Endoscopic management is the first line therapy of common bile duct stones [1]. In most cases, they are successfully extracted with Endoscopic Retrograde Cholangiopancreatography (ERCP) and endoscopic...