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Percutaneous Management of Biliary Stones

Nevzat Ozcan1, Ahsun Riaz2, Guven Kahriman1

  • 1Division of Vascular and Interventional Radiology, Department of Radiology, University of Erciyes, Medical Faculty, Gevher Nesibe Hospital, Kayseri, Turkey.

Seminars in Interventional Radiology
|August 16, 2021
PubMed

Insights

Bile duct stones are common. When endoscopy fails, percutaneous treatment offers an alternative for managing these bile duct stones, reviewing its indications, techniques, and outcomes.

Area of Science:

  • Gastroenterology and Hepatology
  • Interventional Radiology

Background:

  • Bile duct stone disease is a frequent cause of nonmalignant bile duct obstruction.
  • Common bile duct stones occur in 3-14.7% of patients post-cholecystectomy.
  • Hepatolithiasis presents a rare but challenging management scenario.

Purpose of the Study:

  • To review the percutaneous approach for bile duct stone disease.
  • To detail indications, techniques, outcomes, and complications of percutaneous treatment.

Main Methods:

  • Review of literature on percutaneous treatment of bile duct stones.
  • Analysis of case studies and clinical outcomes.

Main Results:

  • Percutaneous intervention is an effective alternative when endoscopic retrograde cholangiopancreatography (ERCP) fails.
  • Successful stone removal and decompression are achievable via percutaneous routes.
  • Complications are associated with the percutaneous approach but are manageable.

Conclusions:

  • Percutaneous treatment is a viable option for bile duct stones when endoscopic methods are unsuccessful.
  • Careful patient selection and procedural technique are crucial for optimal outcomes.
  • This approach expands non-surgical treatment options for complex bile duct stone disease.

Keywords:
bile duct diseasescholedocholithiasisinterventional procedurepercutaneous

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