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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 on theme: "Randomized trial of cholangioscopy-guided laser lithotripsy versus conventional therapy for large bile duct stones (with videos)  James Buxbaum, MD, Ara."— Presentation transcript:

1 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 (April 2018) DOI: /j.gie Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

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

3 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  , DOI: ( /j.gie ) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

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

5 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  , DOI: ( /j.gie ) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions


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