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Endoscopy 1986; 18(6): 238-239
DOI: 10.1055/s-2007-1018388
© Georg Thieme Verlag KG Stuttgart · New York
DOI: 10.1055/s-2007-1018388
Methyl-TER-butyl Ether (MTBE) and Endoscopic Sphincterotomy
A possible solution for dissolving gallstonesFurther Information
Publication History
Publication Date:
17 March 2008 (online)

Summary
MTBE was instilled in 6 cases of lithiasis (1 intrahepatic, 5 giant common bile duct stones following EPT). The nasobiliary route (3 cases) and a percutaneous biliary drain (3 cases) were used for this purpose. Complete stone dissolution was achieved in four cases.
In the other two, volume reduction was sufficient to allow spontaneous elimination after EPT. A full clinical recovery was obtained in all cases. Further investigation is required in cases of intrahepatic and common bile duct stones when their removal by EPT is not enough to lead to clinical resolution. Follow-up is indispensable.
Key words:
MTBE - Chemical cholelitholysis - Gallstones - ERCP - EPT - PTC