Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Gallstone disease future or investigational therapies
Introduction
Overview
Overview
Electrohydraulic lithotripsy (EHL) is the latest advancement in the removal of gallstones in a nonsurgical manner. EHL reportedly has success rates of over 90%.
Future or Investigational Therapies
Future or Investigational Therapies
- Electrohydraulic lithotripsy (EHL) works on the same principle as ERCP.[1][2][3]
- A digital single-operator cholangioscope known as “SpyGlass” is passed through a duodenoscope, which is passed through the oral passage.
- Unlike ERCP, no X-rays are needed to visualize the stones.
- Once the stones are reached, a powerful burst of electrical currents are released to shatter stones.
- The main complicaton with EHL is that the common bile duct may be perforated.
- Bleeding may also occur, as well as injury to the surrounding epithelium.
References
References
- ↑ Siegel JH, Ben-Zvi JS, Pullano WE (1990). “Endoscopic electrohydraulic lithotripsy”. Gastrointest. Endosc. 36 (2): 134–6. PMID 2335279.
- ↑ Binmoeller KF, Brückner M, Thonke F, Soehendra N (1993). “Treatment of difficult bile duct stones using mechanical, electrohydraulic and extracorporeal shock wave lithotripsy”. Endoscopy. 25 (3): 201–6. doi:10.1055/s-2007-1010293. PMID 8519238.
- ↑ Lee JG, Leung JW (1996). “Endoscopic management of difficult common bile duct stones”. Gastrointest. Endosc. Clin. N. Am. 6 (1): 43–55. PMID 8903562.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]