Endoscopy October 2019 PMID 31250408

Cholangioscopy-guided lithotripsy for difficult bile duct stone clearance in a single session of ERCP: results from a large multinational registry demonstrate high success rates.

Amit P Maydeo, Rungsun Rerknimitr, James Y Lau, Abdulrahman Aljebreen, Saad K Niaz, Takao Itoi, Tiing Leong Ang, Jörg Reichenberger, Dong Wan Seo, Mohan K Ramchandani, Benedict M Devereaux, Jong Kyun Lee, Mahesh K Goenka, Randhir Sud, Nam Q Nguyen

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Mentions

Peak: 3 in Oct 2019

across 3 sources since Jul 2019

Extended reach

19,357

potential audience

Total likes

Video views

539

Mentions per month

Jul 2019 – Oct 2019

Where it's discussed

X / Twitter4 posts
Facebook3 posts
YouTube1 videos

AI synopsis

What people are saying

Discussion examples include mentions of the technique being 'highly effective' and its potential as a first-line treatment, with tone emphasizing optimism and clinical relevance, which supports high interest and moderate engagement. Words such as 'promising' and phrases like 'check it out here' show enthusiasm for potential real-world impact.

AgreementModerate agreement

Most discussions agree that the study shows promising results for cholangioscopy-guided lithotripsy, with some posts highlighting its effectiveness.

InterestHigh interest

The topic clearly resonates with those interested in advancements in endoscopy and bile duct procedures, generating high interest.

EngagementModerate engagement

Posts engage with the study by referencing specific techniques like EHL and emphasizing success rates, indicating meaningful participation.

ImpactModerate impact

The discussed study prompts considerations about changing clinical practices, suggesting a moderate but notable impact.

Abstract in brief

A large multinational registry study shows that cholangioscopy-guided lithotripsy during a single ERCP session is highly effective for removing difficult bile duct stones, especially in challenging cases where previous techniques failed.
The study involved 156 patients with complex stones, achieving successful clearance in 80% of cases, with fewer serious adverse events like pancreatitis or perforation, all resolving within a week.
POCS-guided lithotripsy is particularly successful for larger stones (around 30mm), and may even be considered as the first treatment option for difficult bile duct stones, salvaging most previous failed attempts.

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All mentions

Effective Bile Duct Stone Removal Using Cholangioscopy-Guided Lithotripsy

Jong Ho Moon discusses high success rates of cholangioscopy-guided lithotripsy for difficult bile duct stones during a single ERCP session. The study involved 156 patients, achieving an 80% success rate with minimal…

endoscopythieme · Sep 26, 2019 539 views

Deepak Madhu

@drdeepakmadhu · X

RT @endoscopyjrnl: From this month’s image gallery: “Cholangioscopy-guided lithotripsy for difficult bile duct stone clearance in a single…

Oct 17, 2019 · 2 shares · 2,433 followers View post →

George Webster

@GWebster_endo · X

RT @endoscopyjrnl: From this month’s image gallery: “Cholangioscopy-guided lithotripsy for difficult bile duct stone clearance in a single…

Oct 17, 2019 · 2 shares · 2,156 followers View post →

Endoscopy Journal

@endoscopyjrnl · X

Oct 17, 2019 · 12 likes · 2 shares · 11,571 followers View post →

BASL education feed

@BASLedu · X

#EHL highly effective for difficult CBD stones #BASLjwatch https://t.co/A1I4sNYyxj

Jul 5, 2019 · 2,647 followers View post →