The Experts below are selected from a list of 2214 Experts worldwide ranked by ideXlab platform
Thomas H Schneider - One of the best experts on this subject based on the ideXlab platform.
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extracorporeal shockwave lithotripsy of gallstones in cystic duct remnants and Mirizzi Syndrome
Gastrointestinal Endoscopy, 2004Co-Authors: J Benninger, Thomas Rabenstein, M J Farnbacher, Eckhart G Hahn, J. Keppler, Thomas H SchneiderAbstract:Abstract Background Although the efficacy of extracorporeal shockwave lithotripsy for treatment of bile duct calculi is established, there are few studies of the value of extracorporeal shockwave lithotripsy for cystic duct remnant stones and for Mirizzi Syndrome. Methods Patients who required extracorporeal shockwave lithotripsy for cystic duct stones were identified in a cohort of 239 patients with bile duct stones treated by extracorporeal shockwave lithotripsy between January 1989 and December 2001 at a single institution. The medical records of these patients were reviewed. Follow-up information was obtained by telephone contact. Observations Six women (age range 19-85 years) underwent extracorporeal shockwave lithotripsy for cystic duct stones after failure of endoscopic treatment measures. Three of the patients presented with retained cystic duct remnant calculi (one also had Mirizzi Syndrome type I), and 3 presented with Mirizzi Syndrome type I. The stones were fragmented successfully by extracorporeal shockwave lithotripsy in all patients; the fragments were extracted endoscopically in 5 patients. Endoscopy plus extracorporeal shockwave lithotripsy was definitive treatment for all patients except one who subsequently underwent cholecystectomy. Conclusions Gallstones in a cystic duct remnant and in Mirizzi Syndrome can be successfully treated by extracorporeal shockwave lithotripsy in conjunction with endoscopic measures. Extracorporeal shockwave lithotripsy is especially useful when surgery is contraindicated.
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extracorporeal shockwave lithotripsy of gallstones in cystic duct remnants and Mirizzi Syndrome
Gastrointestinal Endoscopy, 2004Co-Authors: J Benninger, Thomas Rabenstein, M J Farnbacher, Eckhart G Hahn, J. Keppler, Thomas H SchneiderAbstract:Abstract Background Although the efficacy of extracorporeal shockwave lithotripsy for treatment of bile duct calculi is established, there are few studies of the value of extracorporeal shockwave lithotripsy for cystic duct remnant stones and for Mirizzi Syndrome. Methods Patients who required extracorporeal shockwave lithotripsy for cystic duct stones were identified in a cohort of 239 patients with bile duct stones treated by extracorporeal shockwave lithotripsy between January 1989 and December 2001 at a single institution. The medical records of these patients were reviewed. Follow-up information was obtained by telephone contact. Observations Six women (age range 19-85 years) underwent extracorporeal shockwave lithotripsy for cystic duct stones after failure of endoscopic treatment measures. Three of the patients presented with retained cystic duct remnant calculi (one also had Mirizzi Syndrome type I), and 3 presented with Mirizzi Syndrome type I. The stones were fragmented successfully by extracorporeal shockwave lithotripsy in all patients; the fragments were extracted endoscopically in 5 patients. Endoscopy plus extracorporeal shockwave lithotripsy was definitive treatment for all patients except one who subsequently underwent cholecystectomy. Conclusions Gallstones in a cystic duct remnant and in Mirizzi Syndrome can be successfully treated by extracorporeal shockwave lithotripsy in conjunction with endoscopic measures. Extracorporeal shockwave lithotripsy is especially useful when surgery is contraindicated.
J Benninger - One of the best experts on this subject based on the ideXlab platform.
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extracorporeal shockwave lithotripsy of gallstones in cystic duct remnants and Mirizzi Syndrome
Gastrointestinal Endoscopy, 2004Co-Authors: J Benninger, Thomas Rabenstein, M J Farnbacher, Eckhart G Hahn, J. Keppler, Thomas H SchneiderAbstract:Abstract Background Although the efficacy of extracorporeal shockwave lithotripsy for treatment of bile duct calculi is established, there are few studies of the value of extracorporeal shockwave lithotripsy for cystic duct remnant stones and for Mirizzi Syndrome. Methods Patients who required extracorporeal shockwave lithotripsy for cystic duct stones were identified in a cohort of 239 patients with bile duct stones treated by extracorporeal shockwave lithotripsy between January 1989 and December 2001 at a single institution. The medical records of these patients were reviewed. Follow-up information was obtained by telephone contact. Observations Six women (age range 19-85 years) underwent extracorporeal shockwave lithotripsy for cystic duct stones after failure of endoscopic treatment measures. Three of the patients presented with retained cystic duct remnant calculi (one also had Mirizzi Syndrome type I), and 3 presented with Mirizzi Syndrome type I. The stones were fragmented successfully by extracorporeal shockwave lithotripsy in all patients; the fragments were extracted endoscopically in 5 patients. Endoscopy plus extracorporeal shockwave lithotripsy was definitive treatment for all patients except one who subsequently underwent cholecystectomy. Conclusions Gallstones in a cystic duct remnant and in Mirizzi Syndrome can be successfully treated by extracorporeal shockwave lithotripsy in conjunction with endoscopic measures. Extracorporeal shockwave lithotripsy is especially useful when surgery is contraindicated.
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extracorporeal shockwave lithotripsy of gallstones in cystic duct remnants and Mirizzi Syndrome
Gastrointestinal Endoscopy, 2004Co-Authors: J Benninger, Thomas Rabenstein, M J Farnbacher, Eckhart G Hahn, J. Keppler, Thomas H SchneiderAbstract:Abstract Background Although the efficacy of extracorporeal shockwave lithotripsy for treatment of bile duct calculi is established, there are few studies of the value of extracorporeal shockwave lithotripsy for cystic duct remnant stones and for Mirizzi Syndrome. Methods Patients who required extracorporeal shockwave lithotripsy for cystic duct stones were identified in a cohort of 239 patients with bile duct stones treated by extracorporeal shockwave lithotripsy between January 1989 and December 2001 at a single institution. The medical records of these patients were reviewed. Follow-up information was obtained by telephone contact. Observations Six women (age range 19-85 years) underwent extracorporeal shockwave lithotripsy for cystic duct stones after failure of endoscopic treatment measures. Three of the patients presented with retained cystic duct remnant calculi (one also had Mirizzi Syndrome type I), and 3 presented with Mirizzi Syndrome type I. The stones were fragmented successfully by extracorporeal shockwave lithotripsy in all patients; the fragments were extracted endoscopically in 5 patients. Endoscopy plus extracorporeal shockwave lithotripsy was definitive treatment for all patients except one who subsequently underwent cholecystectomy. Conclusions Gallstones in a cystic duct remnant and in Mirizzi Syndrome can be successfully treated by extracorporeal shockwave lithotripsy in conjunction with endoscopic measures. Extracorporeal shockwave lithotripsy is especially useful when surgery is contraindicated.
Charalambos Makridis - One of the best experts on this subject based on the ideXlab platform.
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laparoscopic treatment of Mirizzi Syndrome a systematic review
Surgical Endoscopy and Other Interventional Techniques, 2010Co-Authors: Stavros A Antoniou, George A Antoniou, Charalambos MakridisAbstract:Background This article reviews the feasibility of the laparoscopic treatment of Mirizzi Syndrome and determines the associated risks and complications of this technique.
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Laparoscopic treatment of Mirizzi Syndrome: a systematic review
Surgical Endoscopy, 2009Co-Authors: Stavros A Antoniou, George A Antoniou, Charalambos MakridisAbstract:Background This article reviews the feasibility of the laparoscopic treatment of Mirizzi Syndrome and determines the associated risks and complications of this technique. Methods An electronic search of the literature between 1989 and 2008 was undertaken to identify relevant articles. Studies comprising at least four patients treated by laparoscopy and reporting on the preoperative diagnosis rate and analytical conversion and complication data were considered for inclusion. Results From 66 abstracts reviewed, 10 eligible studies were identified. Conversion, complication, and reoperation rates were 41%, 20%, and 6%, respectively. The risks for open conversion and procedure-related complications were similar for patients with type I and type II Mirizzi Syndrome. However, patients of studies reporting a high preoperative diagnosis rate had a significantly lower risk for conversion ( p
Edward K Onuma - One of the best experts on this subject based on the ideXlab platform.
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long term follow up after treatment of Mirizzi Syndrome by peroral cholangioscopy
Gastrointestinal Endoscopy, 2000Co-Authors: Toshio Tsuyuguchi, Taketo Yamaguchi, Hiromitsu Saisho, Takeshi Ishihara, Edward K OnumaAbstract:Abstract Background: The standard treatment for Mirizzi Syndrome is surgical, although endoscopic and percutaneous management have also been described. The aim of this study was to evaluate the usefulness of shock wave lithotripsy combined with peroral cholangioscopy and its long-term outcome in patients with Mirizzi Syndrome. Methods: The records of 25 patients with Mirizzi Syndrome who underwent endoscopic treatment between April 1990 and November 1998 were retrospectively reviewed. Shock wave lithotripsy was performed under direct vision with a "mother-baby" endoscope system in 2 patients with type I and 23 with type II Mirizzi Syndrome (12 men and 13 women, mean age 60 years). Follow-up data were obtained from clinical records or through telephone interviews. Results: In the two patients with type I, the cholangioscopic approach failed and both patients underwent open cholecystectomy. The 23 patients with type II were all successfully treated with shock wave lithotripsy alone. The cholangioscopic approach was unsuccessful in the treatment of residual gallbladder stones. Follow-up data were obtained in all but one patient (mean 43.6 months, range 4 to 103 months). Of the 23 patients with type II, 12 with no gallbladder stones had remained asymptomatic during the follow-up period. Of the 6 patients with type II with large residual gallbladder stones, 4 had acute cholangitis due to stone migration 6, 9, 28, and 34 months after endoscopic treatment. Two patients died during the follow-up period, one of non-biliary causes and the other of coexistent gallbladder carcinoma. Conclusions: Endoscopic treatment of Mirizzi Syndrome using peroral cholangioscopy is a safe and effective alternative to surgery, especially in patients with the type II Syndrome. A favorable long-term outcome depends on the absence of large residual gallbladder stones. (Gastrointest Endosc 2000;52:639-44.)
Thomas Rabenstein - One of the best experts on this subject based on the ideXlab platform.
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extracorporeal shockwave lithotripsy of gallstones in cystic duct remnants and Mirizzi Syndrome
Gastrointestinal Endoscopy, 2004Co-Authors: J Benninger, Thomas Rabenstein, M J Farnbacher, Eckhart G Hahn, J. Keppler, Thomas H SchneiderAbstract:Abstract Background Although the efficacy of extracorporeal shockwave lithotripsy for treatment of bile duct calculi is established, there are few studies of the value of extracorporeal shockwave lithotripsy for cystic duct remnant stones and for Mirizzi Syndrome. Methods Patients who required extracorporeal shockwave lithotripsy for cystic duct stones were identified in a cohort of 239 patients with bile duct stones treated by extracorporeal shockwave lithotripsy between January 1989 and December 2001 at a single institution. The medical records of these patients were reviewed. Follow-up information was obtained by telephone contact. Observations Six women (age range 19-85 years) underwent extracorporeal shockwave lithotripsy for cystic duct stones after failure of endoscopic treatment measures. Three of the patients presented with retained cystic duct remnant calculi (one also had Mirizzi Syndrome type I), and 3 presented with Mirizzi Syndrome type I. The stones were fragmented successfully by extracorporeal shockwave lithotripsy in all patients; the fragments were extracted endoscopically in 5 patients. Endoscopy plus extracorporeal shockwave lithotripsy was definitive treatment for all patients except one who subsequently underwent cholecystectomy. Conclusions Gallstones in a cystic duct remnant and in Mirizzi Syndrome can be successfully treated by extracorporeal shockwave lithotripsy in conjunction with endoscopic measures. Extracorporeal shockwave lithotripsy is especially useful when surgery is contraindicated.
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extracorporeal shockwave lithotripsy of gallstones in cystic duct remnants and Mirizzi Syndrome
Gastrointestinal Endoscopy, 2004Co-Authors: J Benninger, Thomas Rabenstein, M J Farnbacher, Eckhart G Hahn, J. Keppler, Thomas H SchneiderAbstract:Abstract Background Although the efficacy of extracorporeal shockwave lithotripsy for treatment of bile duct calculi is established, there are few studies of the value of extracorporeal shockwave lithotripsy for cystic duct remnant stones and for Mirizzi Syndrome. Methods Patients who required extracorporeal shockwave lithotripsy for cystic duct stones were identified in a cohort of 239 patients with bile duct stones treated by extracorporeal shockwave lithotripsy between January 1989 and December 2001 at a single institution. The medical records of these patients were reviewed. Follow-up information was obtained by telephone contact. Observations Six women (age range 19-85 years) underwent extracorporeal shockwave lithotripsy for cystic duct stones after failure of endoscopic treatment measures. Three of the patients presented with retained cystic duct remnant calculi (one also had Mirizzi Syndrome type I), and 3 presented with Mirizzi Syndrome type I. The stones were fragmented successfully by extracorporeal shockwave lithotripsy in all patients; the fragments were extracted endoscopically in 5 patients. Endoscopy plus extracorporeal shockwave lithotripsy was definitive treatment for all patients except one who subsequently underwent cholecystectomy. Conclusions Gallstones in a cystic duct remnant and in Mirizzi Syndrome can be successfully treated by extracorporeal shockwave lithotripsy in conjunction with endoscopic measures. Extracorporeal shockwave lithotripsy is especially useful when surgery is contraindicated.