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Unusual complication of naso-enteric feeding tube

1991; Elsevier BV; Volume: 37; Issue: 5 Linguagem: Inglês

10.1016/s0016-5107(91)70845-6

1097-6779

James A. Sinnott, Jay Conrad Levinson,

Congenital Anomalies and Fetal Surgery

cholecystography at that time showed a functioning gallbladder without stones.With ultrasound guidance, percutaneous drainage and lithotripsy of gallbladder stones has become routine on our service.The technique has been used by other authors as well.1-4Since 1987 we have performed percutaneous extraction of gallbladder stones in 86 cases.Indications were patients who refused cholecystectomy and patients with high surgical risk.We use the subcostal approach for the placement of the guidewire because of better visibility and working conditions compared with the transhepatic route.Furthermore, hepatic bleeding is avoided. 5 , 6 We think that percutaneous cholecystoscopic lithotripsy is a valuable alternative in treating gallbladder stones in selected cases.In addition, the case presented proves that stones in the cystic duct are not a contraindication to this technique.It opens up a new era in treating cholecysto-and cystic duct lithiasis using non-operative procedures.