Common bile duct calculi: updated experience with dissolution with methyl tertiary butyl ether.

Abstract:

:The authors describe their experience with methyl tertiary butyl ether (MTBE) in a larger series of patients than previously reported in order to acquaint physicians with both its effectiveness for dissolution of common bile duct calculi and the limitations of its use. Ten patients with 13 biliary calculi underwent percutaneous stone dissolution treatment with the experimental cholesterol solvent, MTBE. Three stones completely dissolved within 30 minutes, seven were reduced in size, and three were visibly unaffected. All stones not completely dissolved were easily extracted by means of a stone basket except for one in a patient taken to surgery. Although MTBE perfusion is an effective technique for management of biliary calculi, practitioners should be aware that its use is quite time consuming and its odor difficult to control.

journal_name

Radiology

journal_title

Radiology

authors

Brandon JC,Teplick SK,Haskin PH,Sammon JK,Muhr WF,Hofmann AF,Gambescia RA,Zitomer N

doi

10.1148/radiology.166.3.3340760

subject

Has Abstract

pub_date

1988-03-01 00:00:00

pages

665-7

issue

3

eissn

0033-8419

issn

1527-1315

journal_volume

166

pub_type

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