Randomized trial of cholangioscopy-guided laser lithotripsy versus conventional therapy for large bile duct stones (with videos) James Buxbaum, MD, Ara.

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Presentation transcript:

Randomized trial of cholangioscopy-guided laser lithotripsy versus conventional therapy for large bile duct stones (with videos) James Buxbaum, MD, Ara Sahakian, MD, Christopher Ko, MD, Preeth Jayaram, MD, Christianne Lane, PhD, Chung Yao Yu, MD, Ravi Kankotia, MD, Loren Laine, MD Gastrointestinal Endoscopy Volume 87, Issue 4, Pages 1050-1060 (April 2018) DOI: 10.1016/j.gie.2017.08.021 Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Gastrointestinal Endoscopy 2018 87, 1050-1060DOI: (10. 1016/j. gie Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 Use of cholangioscopy to target (A) large stones for holmium laser lithotripsy (B and C) (Videos 1 and 2), enabling complete removal from the duct in the form of fragments and debris (D). Gastrointestinal Endoscopy 2018 87, 1050-1060DOI: (10.1016/j.gie.2017.08.021) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 Consort diagram of patient flow through the trial. Gastrointestinal Endoscopy 2018 87, 1050-1060DOI: (10.1016/j.gie.2017.08.021) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 3 Successful endoscopic clearance (A and B) and mean procedure time (C and D) by previous versus no previous ERCP. A, Successful endoscopic clearance (%) with previous ERCP. B, Successful endoscopic clearance (%) no previous ERCP. C, Mean procedure time (minutes) with previous ERCP. D, Mean procedure time (minutes) with no previous ERCP. Gastrointestinal Endoscopy 2018 87, 1050-1060DOI: (10.1016/j.gie.2017.08.021) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions