Medical Policy Title: Extracorporeal Shock ARBenefits Approval: 10/12/11
|
|
- Alannah Dalton
- 5 years ago
- Views:
Transcription
1 Medical Policy Title: Extracorporeal Shock ARBenefits Approval: 10/12/11 Wave Lithotripsy for Gallstones Effective Date: 01/01/2012 Document: ARB0155 Revision Date: Code(s): Endoscopic retrograde cholangiopancreatography (ERCP); with endoscopic retrograde destruction, lithotripsy of calculus/calculi, any method S9034 Extracorporeal shockwave lithotripsy for gall stones (if performed with ERCP, use 43265) Public Statement: Administered by: Extracorporeal shock wave lithotripsy (ESWL) for gallstones is a non-invasive procedure for disintegrating gallstones. High-intensity shock waves ( shocks over minutes) are focused sonographically on the gallstones. This procedure is covered for patients with symptomatic single gallstones 20mm or less in diameter who are not surgical candidates. Medical Policy Statement: Extracorporeal shock wave lithotripsy (ESWL) for gallstones, in conjunction with ursodiol therapy, is considered medically necessary and is covered for patients: 1. With symptomatic non-calcified single gallstones measuring 20 mm or less AND 2. Who are either not considered candidates for either open or laparoscopic cholecystectomy due to comorbidities, OR 3. Who actively refuse a surgical option. Background: Enthusiasm for ESWL treatment of gallstones was initially prompted by successful ESWL treatment of kidney stones. Fragmented renal stones could be flushed out relatively easily through the urinary flow. However, in the dependent gallbladder, the fragmented gallstones were often retained and could lead to recurrent biliary colic. In Page 1 of 6
2 the early 1990s interest in ESWL of gallstones waned as laparoscopic cholecystectomy emerged as the treatment of choice for symptomatic cholelithiasis. Research on ESWL treatment of gallstones refocused on its use as an adjunct to ursodiol treatment. In this setting, ESWL was used as a treatment to increase the effectiveness of ursodiol therapy by fragmenting the stones thus increasing their surface area. In fact the clinical studies presented to the FDA as part of the approval process focused on the ability of ESWL to enhance the effectiveness of ursodiol alone. The labeled indication for ESWL for gallstones suggests that the drug be given 2 weeks prior to ESWL and then continued up to 20 months after ESWL or until a stone-free state is achieved. The FDA approval was based on several different studies performed in the 1980s. The data from these studies were reanalyzed to permit a comparison between the outcomes of ursodiol treatment alone and ursodiol treatment combined with ESWL treatment. This complex statistical analysis is difficult to follow in the available FDA advisory committee minutes. However, the data suggest that the clearance rate of gallstones was 60% better in those receiving the combined therapy compared to those receiving ursodiol alone. The best results were seen in those with a single non-calcified gallstone measuring less than 20 mm in diameter. However, it is clear that cholecystectomy still represents the treatment of choice, due to the prompt resolution of symptoms in appropriately selected patients and the absence of stone recurrence, which may recur at a rate of 10% per year in the absence of cholecystectomy. Approximately 500,000 patients per year undergo cholecystectomy. Of these, perhaps 150,000 would be considered candidates on the basis of stone number and size alone. Only a small percentage of these patients would not be considered surgical candidates. A 10-year prospective study on 192 patients who were followed following complete eradication of stone (n = 159) or stones (n = 33) identified 108 patients without recurrence (median of 6.7 years). By acuarial analysis, the cumulative recurrence rates for these 192 stone-free patients were 27% at 3 years, 41% at 5 years, and 54% at 10 years. The authors concluded, "The long-term results are unsatifactory and ESWL of gallbladder stones should be offered only in special cases. ESWL for pancreatic stones was reported in a retrospective study from Japan: 117 patients were treated. 70 patients were followed up after 3 years (evaluated retrospectively) Immediate pain relief was achieved in 97% and complete removal of stones achieved in 56%. In follow-up, 49 of the 70 continued to be asymptomatic. A case report from Japan described a 16 y.o. patient who had undergone excision of excision of a choledochal cyst at age 3, but developed symptomatic stones at the proximal end of the hepatico-jejunostomy anastamosis was treated with ESWL (6 sessions) with complete elimination of the stones. Based on this one case the authors concluded that ESWL "could be a treatment of choice for bile duct stone formation after choledochal cyst excision." A Cochrane Review of Effectiveness done by the Swedish Council on Technology Assessment in Health Care concluded, "Treatment of the gallbladder with lithotripsy Page 2 of 6
3 must be tested further in Randomized Controlled Trial study before introducing the method in clinical practice." References: Adamek HE, Jakobs R, Buttman A, et al.(1999) Long term follow up of patients with chronic pancreatitis and pancreatic stones treated with extracorporeal shock wave lithotripsy. Gut 1999; 45: Adamek HE, Maier M, Jakobs R, et al.(1996) Management of retained bile duct stones: a prospective open trial comparing extracorporeal and intracorporeal lithotripsy. Gastrointest Endosc 1996; 44: Amplatz S, Piazzi L, Felder M, et al.(2007) Extracorporeal shock wave lithotripsy for clearance of refractory bile duct stones. Dig Liver Dis, 2007; 39: Barkun AN, Barkun JS, Sampalis JS, et al.(1997) Costs and effectiveness of extracorporeal gallbladder stone shock wave lithotripsy versus laparoscopic cholecystectomy: a randomized clinical trial. Int J Tech Assess Health Care 1997; 13: Blind PJ, Lundmark M.(1998) Management of bile duct stones: lithotripsy by laser, electrohydraulic, and ultrasonic techniques. Report of a series and clinical review. Eur J Surg 1998; 164: Borch K, Jonsson KA, Lindstrom E, et al.(1996) Extracorporeal shock-wave lithotripsy of gallbladder stones: an alternative for the selected few. Eur J Surg 1996; 162: Carlsson P, Ihse I, Petterson S, et al.(2007) Lithotripsy of kidney stones and gallstones. The Swedish Council on Technology Assessment in Health Care. Cochrane Health Technology Assessment Database, 2007, Issue 4. Carrilho-Ribeiro L, Pinto-Correla A, Velosa J, et al.(2006) A ten-year prospective study on gallbladder stone recurrence after successful extracorporeal shock-wave lithotripsy. Scand J Gastroenterol, 2006; 41: Carroccio A, Iovanna JL, Iacono G, et al.(1997) Pancreatitis-associated protein in patients with celiac disease: serum levels and immunocytochemical localization in small intestine. Digestion 1997; 58: Costamagna G, Gabbrieli A, Mutignani M, et al.(1997) Extracorporeal shock wave lithotripsy of pancreatic stones in chronic pancreatitis: immediate and medium-term results. Gastrointest Endosc 1997; 46: Coverage Issues Manual Page 3 of 6
4 Delhaye M, Vandermeeren A, Baize M, et al.(1992) Extracorporeal shock wave lithotripsy of pancreatic calculi. Gastro 1992; 102: Dig Dis Sci 1993; 38: Dion YM, Morin J.(1995) The role of extracorporeal shock-wave lithotripsy in the treatment of symptomatic cholelithiasis. Can J Surg 1995; 38: Elewart A, Crape A, Afschrift M, et al.(1993) Results of extracorporeal shock wave lithotripsy of gall bladder stones in 693 patients: a plea for restriction to solitary radiolucent stones. Gut 1993; 34: FDA Advisory Committee Minutes FDA.(1999) Gastroenterology and urological devices; reclassification of the extracorporeal shockwave lithotripter. Federal Register. February 8, 1999; 64: Gallstones and Laparoscopic Cholecystectomy. NIH Consensus Statement. September 14-16, 1992; 10:1-26http://odp.od.nih.gov/consensus/cons/090/090_statement.pdf. Gilchrist AM, Ross B, Thomas WE.(1997) Extracorporeal shockwave lithotripsy for common bile duct stones. Br J Surg 1997; 84: Hochberger J, Bayer J, May A, et al.(1998) Laser lithotripsy of difficult bile duct stones: results in 60 patients using a rhodamine 6G dye laser with optical stone tissue detection system. Gut 1998; 43: Howard DE, Fromm H.(1999) Nonsurgical management of gallstone disease. Gastroenterol Clin North Am 1999; 28(1): Int J Tech Assess Health Care 1994; 10:713. Jakobs R, Adamek HE, Maier M, et al.(1997) Fluoroscopically guided laser lithotripsy versus extracorporeal shock wave lithotripsy for retained bile duct stones: a prospective randomized study. Gut 1997; 40: Lindstrom E, Borch K, Kullman EP, et al.(1992) Extracorporeal shock wave lithotripsy of bile duct stones: a single institution experience. Gut 1992; 33: Med J Aust 1993; 158: Neuhaus H, Zillinger C, Bom P, et al.(1998) Randomized study of intracorporeal laser lithotripsy versus extracorporeal shock-wave lithotripsy for difficult bile duct stones. Page 4 of 6
5 Gastro Endosc 1998; 47: Nicholl JP, Brazier JE, Milner PC, et al.(1992) Randomized controlled trial of costeffectiveness of lithotripsy and open cholecystectomy as treatments for gallbladder stones. Lancet 1992; 340: NIDDK.(1998) Gallstones Ohara H, Hoshino M, Hayakawa T, et al.(1996) Single application extracorporeal shockwave lithotripsy is the first choice for patients with pancreatic duct stones. Am J Gastro 1996; 91: Okada Y, Miyamoto M, Yamazaki T, et al.(2007) Piezoelectric extracorporeal shockwave lithotripsy for bile duct stone formation after choledochal cyst excision. Pediatric Surg Int, 2007; 23: Sackmann M, Niller H, Klueppelberg U, et al.(1994) Gallstone recurrence after shockwave therapy. Gastro 1994; 106: Sauerbruch T, Holl J, Sackmann M, et al.(1992) Extracorporeal lithotripsy of pancreatic stones in patients with chronic pancreatitis and pain: a prospective follow-up study. Gut 1992; 33: Sauerbruch T, Holl J, Sackmann M, et al.(1992) Fragmentation of bile duct stones by extracorporeal shock-wave lithotripsy: a five-year experience. Hepatologya 1992; 15: Soehendra N, Nam VC, Binmoeller KF, et al.(1994) Pulverization of calcified and noncalcified gall bladder stones: extracorporeal shock wave lithotripsy used alone. Gut 1994; 35: Tadenuma H, Ishihara T, Yamguchi T, et al.(2005) Long-term results of extracorporeal shockwave lithotripsy and endoscopic therapy for pancreatic stones. Clin Gastroenterol Hepatol, 2005; 3: White DM, Correa RJ, Gibbons RP, et al.(1998) Extracorporeal shock-wave lithotripsy for bile duct calculi. Am J Surg 1998; 175: Application to Products This policy applies to ARBenefits. Consult ARBenefits Summary Plan Description (SPD) for additional information. Last modified by: Date: Page 5 of 6
6 Page 6 of 6
Long-term Results of Extracorporeal Shockwave Lithotripsy and Endoscopic Therapy for Pancreatic Stones
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY 2005;3:1128 1135 Long-term Results of Extracorporeal Shockwave Lithotripsy and Endoscopic Therapy for Pancreatic Stones HIROSHI TADENUMA, TAKESHI ISHIHARA, TAKETO
More informationEndoscopic treatment for chronic pancreatitis: indications, technique, results
J Hepatobiliary Pancreat Sci (2010) 17:770 775 DOI 10.1007/s00534-009-0182-7 TOPICS Chronic pancreatitis: current treatment strategies Endoscopic treatment for chronic pancreatitis: indications, technique,
More informationThe role of ERCP in chronic pancreatitis
The role of ERCP in chronic pancreatitis Marianna Arvanitakis Erasme University Hospital, ULB, Brussels, Belgium 10 th Nottingham Endoscopy Masterclass SPEAKER DECLARATIONS This presenter has the following
More informationNew developments in diagnosis and non-surgical treatment of chronic pancreatitis
bs_bs_banner doi:10.1111/jgh.12250 NUTRITIONAL FACTORS IN PANCREATOBILIARY DISORDERS New developments in diagnosis and non-surgical treatment of chronic pancreatitis Kazuo Inui, Junji Yoshino, Hironao
More informationExtracorporeal Shock Wave Lithotripsy in the Management of Chronic Calcific Pancreatitis: A Meta-Analysis
ORIGINAL ARTICLE Extracorporeal Shock Wave Lithotripsy in the Management of Chronic Calcific Pancreatitis: A Meta-Analysis Nalini M Guda 1, Susan Partington 2, Martin L Freeman 1 1 Gastroenterology Division,
More informationEVALUATION THE ROLE OF DIURETICS IN INCREASING THE EFFECTIVENESS OF ESWL
EVALUATION THE ROLE OF DIURETICS IN INCREASING THE EFFECTIVENESS OF ESWL *Mehrdad Momenzadeh University of Applied Science and Technology, Kazerun, Iran *Author for Correspondence ABSTRACT In this project,
More informationChronic Pancreatitis: When to Scope? Gregory A. Cote, MD, MS Assistant Professor of Medicine Indiana University School of Medicine
Chronic Pancreatitis: When to Scope? Gregory A. Cote, MD, MS Assistant Professor of Medicine Indiana University School of Medicine Endoscopy & Chronic Pancreatitis Diagnosis EUS ERCP Exocrine Function
More informationPancreatoscopy-Directed Electrohydraulic Lithotripsy for Pancreatic Ductal Stones in Painful
Pancreatoscopy-Directed Electrohydraulic Lithotripsy for Pancreatic Ductal Stones in Painful Chronic Pancreatitis Using SpyGlass Short title: EHL for Pancreatic Ductal Stones Noor LH Bekkali 1, MD, PhD;
More informationTHE CURRENT PLACE OF SHOCK-WAVE LITHOTRIPSY FOR BILE DUCT STONES. Department of Surgery AUSTRALIA
HPB INTERNATIONAL 217 assessment of a predictive scoring system, both in patients treated by modern techniques and in a less highly selected group of patients, and the authors indicate that such studies
More informationPercutaneous Transhepatic Release of an Impacted Lithotripter Basket and Its Fractured Traction Wire Using a Goose-Neck Snare: a Case Report
Case Report DOI: 10.3348/kjr.2011.12.2.247 pissn 1229-6929 eissn 2005-8330 Korean J Radiol 2011;12(2):247-251 Percutaneous Transhepatic Release of an Impacted Lithotripter Basket and Its Fractured Traction
More informationManagement of Gallstone Pancreatitis: Effects of Deviation from Clinical Guidelines
Management of Gallstone Pancreatitis: Effects of Deviation from Clinical Guidelines Kevin Sargen, Andrew N Kingsnorth Department of Surgery, Plymouth Postgraduate Medical School, Derriford Hospital. Plymouth.
More informationMultidisciplinary Conservative Treatment of Difficult Bile Duct
HPB Surgery, 1997, Vol. 10, pp. 229-234 Reprints available directly from the publisher Photocopying permitted by license only (C) 1997 OPA (Overseas Publishers Association) Amsterdam B. V. Published in
More informationEndoscopic Treatment for Pancreatolithiasis with a Novel Nitinol Basket Catheter
ORIGINAL ARTICLE Endoscopic Treatment for Pancreatolithiasis with a Novel Nitinol Basket Catheter Hironao Miyoshi, Kazuo Inui, Yoshiaki Katano, Satoshi Yamamoto, Hironao Matsuura Department of Gastroenterology,
More informationKen Ito, Yoshinori Igarashi, Naoki Okano, Takahiko Mimura, Yui Kishimoto, Seiichi Hara, and Kensuke Takuma
Hindawi Publishing Corporation BioMed Research International Volume 2014, Article ID 732781, 8 pages http://dx.doi.org/10.1155/2014/732781 Clinical Study Efficacy of Combined Endoscopic Lithotomy and Extracorporeal
More informationSTRICTURES OF THE BILE DUCTS Session No.: 5. Andrea Tringali Digestive Endoscopy Unit Catholic University Rome - Italy
STRICTURES OF THE BILE DUCTS Session No.: 5 Andrea Tringali Digestive Endoscopy Unit Catholic University Rome - Italy Drainage of biliary strictures. The history before 1980 Surgical bypass Percutaneous
More informationRisk factors for complications of pancreatic extracorporeal shock wave lithotripsy
1092 Risk factors for complications of pancreatic extracorporeal shock wave lithotripsy Authors Bai-Rong Li 1, *, Zhuan Liao 1,2, *, Ting-Ting Du 1, *,BoYe 1, 2, Wen-Bin Zou 1, Hui Chen 1,2, Jun-Tao Ji
More informationEfficacy and cost-effectiveness of extracorporeal shock wave lithotripsy for solitary lower pole renal calculi May D J, Chandhoke P S
Efficacy and cost-effectiveness of extracorporeal shock wave lithotripsy for solitary lower pole renal calculi May D J, Chandhoke P S Record Status This is a critical abstract of an economic evaluation
More informationShock Wave Lithotripsy for Bladder Stones
Human Journals Research Article February 2018 Vol.:11, Issue:3 All rights are reserved by Haider A. AbuAlmaali et al. Shock Wave Lithotripsy for Bladder Stones Keywords: Shock Wave Lithotripsy, Bladder
More informationThe pros and cons of laparoscopic cholecystectomy and extracorporeal shock wave lithotripsy in the management of gallstone disease
Ann R Coll Surg Engl 1994; 76: 42-46 The pros and cons of laparoscopic cholecystectomy and extracorporeal shock wave lithotripsy in the management of gallstone disease Ara Darzi FRCSI Registrar in Surgery
More informationEndoscopic Retrograde Pancreatography and Laparoscopic Cholecystectomy. TEAM 1 Janix M. De Guzman, MD Presentor
Endoscopic Retrograde Pancreatography and Laparoscopic Cholecystectomy TEAM 1 Janix M. De Guzman, MD Presentor Premise 40F Jaundice Abdominal pain US finding of gallstones with apparently normal common
More informationClinical Practice KPBA Guideline for Common Bile Duct Stones: The Endoscopic Management of Difficult and Recurrent Common Bile Duct Stones
PBS-I Pancreatobiliary Endoscopist's Rule of Thumb Clinical Practice KPBA Guideline for Common Bile Duct Stones: The Endoscopic Management of Difficult and Recurrent Common Bile Duct Stones Byung Moo Yoo,
More informationRecurrent common bile duct stones as a late complication of endoscopic sphincterotomy
Nzenza et al. BMC Gastroenterology (2018) 18:39 https://doi.org/10.1186/s12876-018-0765-3 RESEARCH ARTICLE Open Access Recurrent common bile duct stones as a late complication of endoscopic sphincterotomy
More informationInternational Journal of Health Sciences and Research ISSN:
International Journal of Health Sciences and Research www.ijhsr.org ISSN: 2249-9571 Original Research Article Comparative Study between Laparoscopic and Open Cholecystectomy for Dr. B. Hemasankararao 1,
More informationEndoscopic Management and Role of Interim Plastic Biliary Stenting in Large and Multiple Pigmented Common Bile Duct Stone
10.5005/jp-journals-10018-1072 Original Article EJOHG Endoscopic Management and Role of Interim Plastic Biliary Stenting in Large and Multiple Pigmented Common Bile Duct Stone Arunkumar Krishnan, Ravi
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE
Appendix B: Scope NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE Post publication note: The title of this guideline changed during development. This scope was published before the guideline
More information담낭절제술후발생한미리찌증후군의내시경적치료 1 예
Case Report The Korean Journal of Pancreas and Biliary Tract 2014;19:199-203 http://dx.doi.org/10.15279/kpba.2014.19.4.199 pissn 1976-3573 eissn 2288-0941 담낭절제술후발생한미리찌증후군의내시경적치료 1 예 인하대학교의학전문대학원내과학교실 이정민
More informationPercutaneous Endoscopic Holmium Laser Lithotripsy for Management of Complicated Biliary Calculi
Percutaneous Endoscopic Holmium Laser Lithotripsy for Management of Complicated Biliary Calculi Kelly Healy, Emory University Abbas Chamsuddin, Emory University James Spivey, Emory University Louis Martin,
More informationExtracorporeal shock wave lithotripsy of pancreatic
Gut, 1989, 30, 1406-1411 Extracorporeal shock wave lithotripsy of pancreatic stones T SAUERBRUCH, J HOLL, M SACKMANN, AND G PAUMGARTNER From the Medical Department II, Klinikum Grosshadern, University
More informationThe Clinical Case for ESWL
The Clinical Case for ESWL ESWL A First Line Treatment for All Ureteric Stones? October 2017 Editorial Dear Doctor, Extracorporeal Shock Wave Lithotripsy (ESWL) has been the cornerstone of non-invasive
More informationPancreatic Stone Extracorporeal Shockwave Lithotripsy-A New Concern for Urologists?
ARC Journal of Urology Volume 3, Issue 1, 2018, PP 1-5 ISSN No. (Online):2456-060X http://dx.doi.org/10.20431/2456-060x.0301001 www.arcjournals.org Pancreatic Stone Extracorporeal Shockwave Lithotripsy-A
More informationLITHOTRIPSY FOR SALIVARY STONES
Oxford LITHOTRIPSY FOR SALIVARY STONES UnitedHealthcare Oxford Clinical Policy Policy Number: SURGERY 045.16 T2 Effective Date: December 1, 2018 Instructions for Use Table of Contents Page APPLICABLE LINES
More informationTitle: The best approach to treat concomitant gallstones and. Authors: Jesús García-Cano, Francisco Domper
Title: The best approach to treat concomitant gallstones and common bile duct stones. Is ERCP still needed? Authors: Jesús García-Cano, Francisco Domper DOI: 10.17235/reed.2019.6226/2019 Link: PubMed (Epub
More informationSpyGlass DS-guided lithotripsy for pancreatic duct stones in symptomatic treatment-refractory chronic calcifying pancreatitis
SpyGlass DS-guided lithotripsy for pancreatic duct stones in symptomatic treatment-refractory chronic calcifying pancreatitis Authors Christian Gerges *, 1, David Pullmann *, 1,FarzanBahin 1,MarkusSchneider
More informationCitation Acta medica Nagasakiensia. 1996, 41
NAOSITE: Nagasaki University's Ac Title Author(s) Extracorporeal Shock Wave Lithotrip Lithotomy for Pancreatolithiasis : Furukawa, Masato; Okuhama, Yukihiro Kosei; Mine, Yoshikazu; Sasaki, Mak Yoshihiko;
More informationLumen Apposing Metal Stents: Expanding the Role of the Interventional Endoscopist. Alireza Sedarat, MD UCLA Division of Digestive Diseases
Lumen Apposing Metal Stents: Expanding the Role of the Interventional Endoscopist Alireza Sedarat, MD UCLA Division of Digestive Diseases Disclosures Consultant for Boston Scientific and Olympus Corporation
More informationLITHOTRIPSY FOR SALIVARY STONES
UnitedHealthcare of California (HMO) UnitedHealthcare Benefits Plan of California (IEX EPO, IEX PPO) UnitedHealthcare of Oklahoma, Inc. UnitedHealthcare of Oregon, Inc. UnitedHealthcare Benefits of Texas,
More informationShould we say farewell to ESWL?
Should we say farewell to ESWL? HARRY WINKLER Director, section of Endo-urology Kidney stone center Dept. of Urology Sheba medical center Financial and Other Disclosures Off-label use of drugs, devices,
More informationThe campaign on laboratory: focus on Gallstone Disease and ERCP
The campaign on laboratory: focus on Gallstone Disease and ERCP Mauro Giuliani, MD, Specialist in Visceral Surgery, Vice Head Physician, Surgical Ward, Ospedale Regionale di Locarno Alberto Fasoli, MD,
More informationAn angulated common bile duct predisposes to recurrent symptomatic bile duct stones after endoscopic stone extraction
Surg Endosc (2006) 20: 1594 1599 DOI: 10.1007/s00464-005-0656-x Ó Springer Science+Business Media, Inc. 2006 An angulated common bile duct predisposes to recurrent symptomatic bile duct stones after endoscopic
More informationPre-operative prediction of difficult laparoscopic cholecystectomy
International Surgery Journal http://www.ijsurgery.com pissn 2349-3305 eissn 2349-2902 Research Article DOI: http://dx.doi.org/10.18203/2349-2902.isj20151083 Pre-operative prediction of difficult laparoscopic
More informationCase Report Bouveret s Syndrome: Case Report and Review of the Literature
Gastroenterology Research and Practice Volume 2009, Article ID 914951, 4 pages doi:10.1155/2009/914951 Case Report Bouveret s Syndrome: Case Report and Review of the Literature Iliana Doycheva, 1 Alpna
More informationMaking ERCP Easy: Tips From A Master
Making ERCP Easy: Tips From A Master Raj J. Shah, M.D., FASGE Associate Professor of Medicine University of Colorado School of Medicine Co-Director, Endoscopy Director, Pancreaticobiliary Endoscopy Services
More informationCitation Acta medica Nagasakiensia. 1998, 43
NAOSITE: Nagasaki University's Ac Title Author(s) Difficult Stones in the Common Bile Electrohydraulic Lithotripsy using Rotating Hemostatic Valve under 180 Mizuta, Yohei; Nakamura, Takashi; N Sato, Shoichi;
More informationGallstones Information Leaflet THE DIGESTIVE SYSTEM. Gutscharity.org.uk
THE DIGESTIVE SYSTEM http://healthfavo.com/digestive-system-for-kids.html This factsheet is about gallstones Gall is an old-fashioned word for bile, a liquid made in the liver and stored in the gall bladder
More informationLOWER POLE STONE DR.NOOR ASHANI MD YUSOFF DEPT. OF UROLOGY HOSP.KUALA LUMPUR
DR.NOOR ASHANI MD YUSOFF DEPT. OF UROLOGY HOSP.KUALA LUMPUR ! The appropriate treatment of lower pole calculi is controversial:! Shock wave lithotripsy! Retrograde ureteroscopy! Percutaneous lithotripsy
More informationSex-related differences in predicting choledocholithiasis using current American Society of Gastrointestinal Endoscopy risk criteria
ORIGINAL ARTICLE Annals of Gastroenterology (2018) 31, 1-6 Sex-related differences in predicting choledocholithiasis using current American Society of Gastrointestinal Endoscopy risk criteria Ankit Chhoda
More informationGreater Manchester EUR Policy Statement on: Asymptomatic Gallstones GM Ref: GM061 Version: 0.2 (21 November 2018)
Greater Manchester EUR Policy Statement on: Asymptomatic Gallstones GM Ref: GM061 Version: 0.2 (21 November 2018) Commissioning Statement Asymptomatic Gallstones Policy Exclusions (Alternative commissioning
More informationEfficacy of Extracorporeal Shock Wave Lithotripsy on the Treatment of Upper Urinary Tract Stones
38 ORIGINAL ARTICLE Efficacy of Extracorporeal Shock Wave Lithotripsy on the Treatment of Upper Urinary Tract Stones Tien-Huang Lin 1, Chao-Hsiang Chang 1,2, Chin-Chung Yeh 1,2, Wu-Nan Chen 3, Shi-San
More informationEndoscopic Therapy of Chronic Pancreatitis
AMERICAN SOCIETY FOR GASTROINTESTINAL ENDOSCOPY Endoscopic Therapy of Chronic Pancreatitis Chronic pancreatitis is an inflammatory process characterized by destruction of pancreatic parenchyma and ductal
More informationThe Clinical Case for ESWL
The Clinical Case for ESWL A Summary of Peer-Reviewed Articles October 2017 - Issue #1 Index Page Outpatient basis extracorporeal shock wave lithotripsy for ureter stones: Efficacy of the third generation
More informationComparison Between Primary Closure of Common Bile Duct and T- Tube Drainage After Open Choledocholithiasis: A Hospital Based Study
Original article: Comparison Between Primary Closure of Common Bile Duct and T- Tube Drainage After Open Choledocholithiasis: A Hospital Based Study Kali CharanBansal Principal Specialist (General surgery)
More informationBiliary and Pancreatic Endoscopy Stones, Strictures, and IPMN
WE MAKE LIVES BETTER UTHSC SAN ANTONIO Memorial Hermann Gastroentrology & Hepatology Symposium February 10, 2018 Biliary and Pancreatic Endoscopy Stones, Strictures, and IPMN Sandeep N. Patel, DO Director,
More informationLaparoscopic Cholecystectomy: A Retrospective Study
Bahrain Medical Bulletin, Vol. 37, No. 3, September 2015 Laparoscopic Cholecystectomy: A Retrospective Study Abdullah Al-Mitwalli, LRCPI, LRCSI* Martin Corbally, MBBCh, BAO, MCh, FRCSI, FRCSEd, FRCS**
More informationThe 82 nd UWI/BAMP CME Conference November 18, Jeetu Nebhnani MBBS D.M. Urology Consultant Urologist
The 82 nd UWI/BAMP CME Conference November 18, 2017 Jeetu Nebhnani MBBS D.M. Urology Consultant Urologist Disclosures Outline Index case Introduction Etiology Risk factors Acute stone event Conservative
More informationMagnetic Resonance Cholangiopancreatography (MRCP) in a District General Hospital
Magnetic Resonance Cholangiopancreatography (MRCP) in a District General Hospital Poster No.: C-1790 Congress: ECR 2012 Type: Authors: Scientific Exhibit J. A. Maguire 1, H. Kasem 2, M. Akhtar 2, M. Strauss
More informationEndoscopic Ultrasonography Clinical Impact. Giancarlo Caletti. Gastroenterologia Università di Bologna. Caletti
Clinical Impact Giancarlo Gastroenterologia Università di Bologna AUSL di Imola,, Castel S. Pietro Terme (BO) 1982 Indications Diagnosis of Submucosal Tumors (SMT) Staging of Neoplasms Evaluation of Pancreato-Biliary
More informationEndoscopic Sphincterotomy and Risk of Malignancy in the Bile Ducts, Liver, and Pancreas
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY 2008;6:1049 1053 Endoscopic Sphincterotomy and Risk of Malignancy in the Bile Ducts, Liver, and Pancreas CECILIA STRÖMBERG,* JUHUA LUO, LARS ENOCHSSON,* URBAN ARNELO,*
More informationCholecystectomy rate following endoscopic biliary interventions
Original Article Brunei Int Med J. 2012; 8 (4): 166-172 Cholecystectomy rate following endoscopic biliary interventions Sky Lim 1, Lin Naing 1, Vui Heng Chong 2 1 Pengiran Anak Puteri Rashidah Sa adatul
More informationType of intervention Treatment. Economic study type Cost-effectiveness analysis.
Preoperative endoscopic sphincterotomy versus laparoendoscopic rendezvous in patients with gallbladder and bile duct stones Morino M, Baracchi F, Miglietta C, Furlan N, Ragona R, Garbarini A Record Status
More informationIs cholecystectomy necessary after endoscopic treatment of bile duct stones in patients older than 80 years of age?
九州大学学術情報リポジトリ Kyushu University Institutional Repository Is cholecystectomy necessary after endoscopic treatment of bile duct stones in patients older than 80 years of age? Yasui, Takaharu Department of
More informationPoorly expandable common bile duct with stones on endoscopic retrograde cholangiography
Online Submissions: http://www.wjgnet.com/1007-9327office wjg@wjgnet.com doi:10.3748/wjg.v18.i19.2396 World J Gastroenterol 2012 May 21; 18(19): 2396-2401 ISSN 1007-9327 (print) ISSN 2219-2840 (online)
More informationWhat Are Gallstones? GALLSTONES. Gallstones are pieces of hard, solid matter that form over time in. the gallbladder of some people.
What Are Gallstones? Gallstones are pieces of hard, solid matter that form over time in the gallbladder of some people. The gallbladder sits under the liver and stores bile (a key digestive juice ). Gallstones
More informationIntroduction of GB polyp
Management of Gallbladder Polyp as Physician's View Sang Hyub Lee, MD, PhD Seoul National University College of Medicine Seoul National University Bundang Hospital Department of Internal Medicine Division
More informationJ of Evolution of Med and Dent Sci/ eissn , pissn / Vol. 4/ Issue 42/ May 25, 2015 Page 7258
LAPAROSCOPIC COMPLETION CHOLECYSTECTOMY FOR POST CHOLECYSTECTOMY SYNDROME Zahur Hussain 1, Himanshu Sharma 2, Vikrant Singh Chandail 3, Barinder Kumar 4, Suneel Mattoo 5, Ashufta Rasool 6, Anshuman Sharma
More informationTITLE: Lithotripsy for Kidney Stones or Gallstones: A Review of the Clinical Effectiveness, Cost-Effectiveness, and Guidelines
TITLE: Lithotripsy for Kidney Stones or Gallstones: A Review of the Clinical Effectiveness, Cost-Effectiveness, and Guidelines DATE: 1 October 2009 CONTEXT AND POLICY ISSUES: Kidney stones, or renal calculi,
More informationClinical Study Do Renal Cysts Affect the Success of Extracorporeal Shockwave Lithotripsy? A Retrospective Comparative Study
Advances in Urology Volume 2013, Article ID 978180, 4 pages http://dx.doi.org/10.1155/2013/978180 Clinical Study Do Renal Cysts Affect the Success of Extracorporeal Shockwave Lithotripsy? A Retrospective
More informationPresence of choledocholithiasis in patients undergoing cholecystectomy for mild biliary pancreatitis
Original Article Presence of choledocholithiasis in patients undergoing cholecystectomy for mild biliary pancreatitis Pradhan S 1, Shah S 2, Maharjan S 2, Shah JN 3 1 2 2 3 Professor, Patan hospital Correspondence:
More informationISSN East Cent. Afr. J. surg. (Online)
87 Ureteroscopy in a Resource Limited Setting: The Tikur Anbessa General Specialized Hospital Experience in Addis Ababa, Ethiopia. D. Andualem, L. Be-ede, T. Mulat, L. Samodi Addis Ababa University-School
More informationEndoscopic treatment is now the first-line management
Original Article / Biliary Success rate and complications of endoscopic extraction of common bile duct stones over 2 cm in diameter Xin-Jian Wan, Zheng-Jie Xu, Feng Zhu and Lei Li Shanghai, China BACKGROUND:
More informationcomplication rates and/or incomplete clearance with need of intervention (ie, unfavorable outcomes).
Research Original Investigation Natural Course vs Interventions to Clear Common Bile Duct Stones Data From the Swedish Registry for Gallstone Surgery and Endoscopic Retrograde Cholangiopancreatography
More informationSphincter of Oddi Dysfunction Type III, Manometry and Sphincterotomy: Sham Won, Game Over
Sphincter of Oddi Dysfunction Type III, Manometry and Sphincterotomy: Sham Won, Game Over C. Mel Wilcox, M.D., M.S.P.H. Professor of Medicine, Surgery and Pediatrics University of Alabama, Birmingham Basil
More informationArpit Amin, Yuriy Zhurov, George Ibrahim, Anthony Maffei, Jonathan Giannone, Thomas Cerabona, and Ashutosh Kaul
Case Reports in Surgery Volume 2016, Article ID 1896368, 9 pages http://dx.doi.org/10.1155/2016/1896368 Case Report Combined Endoscopic and Management of Postcholecystectomy Mirizzi Syndrome from a Remnant
More informationPercutaneous extraction of residual post-cholecystectomy gallstones through the T-tube tract
DOI: https://doi.org/10.5114/pjr.2018.75811 Received: 06.02.2018 Accepted: 23.02.2018 Published: 07.05.2018 http://www.polradiol.com Original paper Percutaneous extraction of residual post-cholecystectomy
More informationPublic Statement: Medical Policy Statement:
Medical Policy Title: Radiofrequency Ablation ARBenefits Approval: 10/26/2011 of Tumors Effective Date: 01/01/2012 Document: ARB0300 Revision Date: Code(s): 20982 Ablation, bone tumor(s), radiofrequency,
More informationlaparoscopic cholecystectomy
Combined percutaneous and endoscopic approach in management of dropped gallstones following laparoscopic cholecystectomy John S.F. Shum 1*, K.H. Fung 1, George P.C. Yang 2, Chung Ngai Tang 2, Michael K.W.
More informationESPEN Congress Brussels 2005
ESPEN Congress Brussels 2005 Therapeutic endoscopy of pancreatic diseases. How endoscopy may improve nutrition? Myriam Delhaye Therapeutic endoscopy of pancreatic diseases. How endoscopy may improve nutrition?
More informationManagement of GALLSTONE Disease and GALLBLADDER Pathology December 2017
Commissioning Policy Management of GALLSTONE Disease and GALLBLADDER Pathology December 2017 This policy applies to patients for whom the following Clinical Commissioning Groups are responsible: NHS South
More informationSubtotal cholecystectomy for complicated acute cholecystitis: a multicenter prospective observational study
Study title Subtotal cholecystectomy for complicated acute cholecystitis: a multicenter prospective observational study Primary Investigator: Kazuhide Matsushima, MD Co-Primary investigator: Zachary Warriner,
More informationDownloaded from jssu.ssu.ac.ir at 13:10 IRST on Saturday October 28th 2017
Journal of Shahid Sadoughi University of Medical Sciences Vol. 21, No. 5, Nov-Dec 2013 Pages: 675-681 1392 5 21 675-681 : 3 2* 1 1392/8/ : -1-2 -3 1391/8/24 : (). :. 1390 200 :.. SPSS (%0/5) 200 (8%) (%9/5)19
More informationCHRONIC PANCREATITIS CONSERVATIVE TREATMENT, ENDOSCOPY OR SURGERY?
Endoscopy 2006 Update and Live Demonstration Berlin, 04. 05. Mai 2006 CHRONIC PANCREATITIS CONSERVATIVE TREATMENT, ENDOSCOPY OR SURGERY? J. F. Riemann A. Rosenbaum Medizinische Klinik C, Klinikum Ludwigshafen
More informationSurgical Workload, Outcome and Research Database: V1.1
Technical Guidance for Surgical Workload, Outcome and Research Database: V1.1 Contents 1. Standard Indicators... 5 1.1. Activity Volume... 5 1.2. Average Length of Stay (Days)... 5 1.3. 2/7/30 day Re-admission
More informationA LEADER IN ADVANCED ENDOSCOPY AND HEPATOBILIARY SURGERY
A LEADER IN ADVANCED ENDOSCOPY AND HEPATOBILIARY SURGERY St. Peter s Hospital Advanced Endoscopy & Hepatobiliary Center Welcome The St. Peter s Hospital Advanced Endoscopy & Hepatobiliary Center is a leader
More informationThe relationship between gallbladder status and recurrent biliary complications in patients with choledocholithiasis following endoscopic treatment
Available online at www.sciencedirect.com Journal of the Chinese Medical Association 75 (2012) 560e566 Original Article The relationship between gallbladder status and recurrent biliary complications in
More informationCommissioning Policy Individual Funding Request
Commissioning Policy Individual Funding Request Laparoscopic Cholecystectomy for Gallstones in Adults Criteria Based Access Policy Date Adopted: 22 December 2017 Version: 1718.3.01 Individual Funding Request
More informationEndoscopic management of postoperative bile duct injuries: a single center experience.
1- Endoscopic management of postoperative bile duct injuries: a single center experience. BACKGROUND/AIM: Biliary endoscopic procedures may be less invasive than surgery for management of postoperative
More informationComparative Study between Slow Shock Wave Lithotripsy and Fast Shock Wave Lithotripsy in the Management of Renal Stone
Original Article Comparative Study between Slow Shock Wave Lithotripsy and Fast Shock Wave Lithotripsy in the Management of Renal Stone Deb Prosad Paul 1, Debashish Das 2, A S M Zahidur Rahman 3, A K M
More informationPrimary Closure Versus T-tube Drainage After Open Choledochotomy
Original Article Primary Closure Versus T-tube Drainage After Open Choledochotomy M. Ambreen, A.R. Shaikh, A. Jamal, J.N. Qureshi, A.G. Dalwani and M.M. Memon, Department of Surgery, Liaquat University
More informationThe Present Scenario of Cholecystectomy
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 15, Issue 5 Ver. III (May. 2016), PP 71-75 www.iosrjournals.org The Present Scenario of Cholecystectomy
More informationIndian Journal of Medical Research and Pharmaceutical Sciences July 2017;4(7) ISSN: ISSN: DOI: /zenodo Impact Factor: 3.
GALLBLADDER DISEASES ASSOCIATED WITH LAPAROSCOPIC SLEEVE GASTRECTOMY IN JORDAN, PILOT STUDY Dr. Osama T. Abu Salem*, Dr. Ibrahim Al Gwairy, Dr. Ramadan Al Hasanat & Dr. Talal Jalabneh** *Consultant Gneral
More informationP R E S E N T S Dr. Mufa T. Ghadiali is skilled in all aspects of General Surgery. His General Surgery Services include: General Surgery Advanced Laparoscopic Surgery Surgical Oncology Gastrointestinal
More informationRenal Stone Disease 1
Renal Stone Disease 1 What is a Stone? A Precipitation of secretions within an excretory organ Four sites: Renal, Prostatic, Biliary, Salivary Stone Formation needs Supersaturation of urine with solute
More informationEvolution of stone management in Australia
Evolution of stone management in Australia Ming-Chak Lee and Simon Virgil Bariol Department of Urology, Westmead Hospital, Sydney, Australia OBJECTIVE To examine trends in the operative management of upper
More informationEndoscopic sphincterotomy with or without cholecystectomy for choledocholithiasis in high risk surgical patients: A decision analysis
Thomas Jefferson University Jefferson Digital Commons Department of Medicine Faculty Papers Department of Medicine July 2006 Endoscopic sphincterotomy with or without cholecystectomy for choledocholithiasis
More informationGall bladder cancer. Information for patients Hepatobiliary
Gall bladder cancer Information for patients Hepatobiliary page 2 of 12 Who will provide my care? You will be cared for by a number of professionals who work together. These professionals will be specialist
More informationTechnical Guidance for Surgical Workload Audit and Research Database: Cholecystectomy V1.0
Technical Guidance for Surgical Workload Audit and Research Database: Cholecystectomy V1.0 Contents 1. The Indicators... 3 1.1. Activity Volume... 3 3.2. Average Length of Stay (Days)... 3 3.3. 2/7/30
More informationThe Clinical Case for ESWL
The Clinical Case for ESWL Shock Wave Lithotripsy The Reliable Option October 2017 Editorial Dear Doctor, Extracorporeal Shock Wave Lithotripsy (ESWL) has been the cornerstone of non-invasive kidney stone
More informationIn Situ Extracorporeal Shock Wave Lithotripsy (ESWL) and ESWL after Push Back For Upper Ureteric Calculi: A Comparative Study
ISSN: 2091-2331 (PRINT) 2091-234X (ONLINE) Original Article Journal of Nobel Medical College Available Online: www.nepjol.info, www.nobelmedicalcollege.com.np Volume 6, Number 1, Issue 10, January-June
More informationBiliary MRI w Eovist
Biliary MRI w Eovist Is there any added value? Elmar M. Merkle, MD Director of MR Imaging Duke University Medical Center elmar.merkle@duke.edu Declaration of Conflict of Interest or Relationship Research
More informationBest of UEG week 2017 (Pancreas-biliary)
Best of UEG week 2017 (Pancreas-biliary) Marianna Arvanitakis Erasme University Hospital, ULB, Brussels, Belgium 10 th Nottingham Endoscopy Masterclass SPEAKER DECLARATIONS This presenter has the following
More informationEndoscopic management of Mirizzi's syndrome
272 Gut 1997; 40: 272-276 Endoscopic management of Mirizzi's syndrome Department of Radiology, South Manchester University Hospitals NHS Trust Withington R E England D F Martin Correspondence to: Dr D
More information