{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T11:36:13Z","timestamp":1790249773223,"version":"4.1.0"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"09","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endoscopy"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2002When conventional endoscopic treatment of bile duct stones is impossible or fails, advanced endoscopy-assisted lithotripsy can be performed by electrohydraulic lithotripsy (EHL), laser lithotripsy, or extracorporeal shock wave lithotripsy (ESWL). No systematic review has compared efficacy and safety between these techniques. <\/jats:p><jats:p>\n          Methods\u2002A systematic search was performed in PubMed, the Cochrane Library, and EMBASE for studies investigating EHL, laser lithotripsy, and ESWL in patients with retained biliary tract stones.<\/jats:p><jats:p>\n          Results\u2002After screening 795 studies, 32 studies with 1969 patients undergoing EHL (n\u200a=\u200a277), laser lithotripsy (n\u200a=\u200a426) or ESWL (n\u200a=\u200a1266) were included. No randomized studies were available. Although each advanced lithotripsy technique appeared to be highly effective, laser lithotripsy had a higher complete ductal clearance rate (95.1\u200a%) than EHL (88.4\u200a%) and ESWL (84.5\u200a%; P \u200a&lt;\u200a0.001). In addition, a higher stone fragmentation rate was reported for laser lithotripsy (92.5\u200a%) than for EHL (75.5\u200a%) and ESWL (89.3\u200a%; P\u200a&lt;\u200a0.001). The post-procedural complication rate was significantly higher for patients treated with EHL (13.8\u200a%) than for patients treated with ESWL (8.4\u200a%) or laser lithotripsy (9.6\u200a%; P\u200a=\u200a0.04). Data on the recurrence rate of the biliary tract stones were lacking. <\/jats:p><jats:p>\n          Conclusion\u2002This systematic review revealed that laser lithotripsy appeared to be the most successful advanced endoscopy-assisted lithotripsy technique for retained biliary tract stones, although randomized studies are lacking.<\/jats:p>","DOI":"10.1055\/a-0637-8806","type":"journal-article","created":{"date-parts":[[2018,7,10]],"date-time":"2018-07-10T23:02:51Z","timestamp":1531263771000},"page":"896-909","source":"Crossref","is-referenced-by-count":70,"title":["A systematic review of advanced endoscopy-assisted lithotripsy for retained biliary tract stones: laser, electrohydraulic or extracorporeal shock wave"],"prefix":"10.1055","volume":"50","author":[{"given":"Joyce","family":"Veld","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Amsterdam Gastroenterology and Metabolism, Academic Medical Center, Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadine","family":"van Huijgevoort","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Amsterdam Gastroenterology and Metabolism, Academic Medical Center, Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marja","family":"Boermeester","sequence":"additional","affiliation":[{"name":"Department of Surgery, Amsterdam Gastroenterology and Metabolism, Academic Medical Center, Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Besselink","sequence":"additional","affiliation":[{"name":"Department of Surgery, Amsterdam Gastroenterology and Metabolism, Academic Medical Center, Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Otto","family":"van Delden","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Amsterdam Gastroenterology and Metabolism, Academic Medical Center, Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Fockens","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Amsterdam Gastroenterology and Metabolism, Academic Medical Center, Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeanin","family":"van Hooft","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Amsterdam Gastroenterology and Metabolism, Academic Medical Center, Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2018,7,10]]},"container-title":["Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-0637-8806.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,8,29]],"date-time":"2018-08-29T22:31:39Z","timestamp":1535581899000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-0637-8806"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7,10]]},"references-count":0,"journal-issue":{"issue":"09","published-online":{"date-parts":[[2018,8,29]]},"published-print":{"date-parts":[[2018,9]]}},"URL":"https:\/\/doi.org\/10.1055\/a-0637-8806","relation":{},"ISSN":["0013-726X","1438-8812"],"issn-type":[{"value":"0013-726X","type":"print"},{"value":"1438-8812","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,7,10]]}}}