Successful endoscopic treatment of colonic gallstone ileus using electrohydraulic lithotripsy

Martin D. Zielinski, Lincoln E. Ferreira, Todd H. Baron

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

Abstract

The surgical management of gallstone ileus is complex and potentially highly morbid. Initial management requires enterolithotomy and is generally followed by fistula resection at a later date. There have been reports of gallstone extraction using various endoscopic modalities to relieve the obstruction, however, to date, there has never been a published case of endoscopic stone extraction from the colon using electrohydraulic lithotripsy. In this report, we present the technique employed to successfully perform an electrohydraulic lithotripsy for removal of a large gallstone impacted in the sigmoid colon. A cavity was excavated in an obstructing 4.1 cm lamellated stone in the sigmoid colon using electrohydraulic lithotripsy. A screw stent retractor and stent extractor bored a larger lumen which allowed for guidewire advancement and stone fracture via serial pneumatic balloon dilatation. The stone fragments were removed. Electrohydraulic lithotripsy is a safe and effective method to treat colonic obstruction in the setting of gallstone ileus.

Original languageEnglish (US)
Pages (from-to)1533-1536
Number of pages4
JournalWorld journal of gastroenterology
Volume16
Issue number12
DOIs
StatePublished - Mar 28 2010

Keywords

  • Bowel obstruction
  • Colon
  • Electrohydraulic lithotripsy
  • Endoscopy
  • Gallstone ileus

ASJC Scopus subject areas

  • Gastroenterology

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