[Clinical relevance of extracorporeal shockwave lithotripsy (ESWL) in choledocholithiasis].

Abstract:

:Primary endoscopic removal of bile duct stones is an established method of treatment. However, the extraction of stones is impossible in about 10% of cases despite successful endoscopic papillotomy and manual lithotripsy. Over a period of two years extracorporeal shock-wave lithotripsy (ESWL) was performed in 32 patients. Piezolith 2200, a second generation lithotripter was used, which requires neither analgesia nor anaesthesia for the patient. Localisation of the stones was carried out by means of a 3.5 MH 2 sector scanner. ESWL treatment was successful in 24 of 32 patients (75%). In 6 patients the bile duct stones were too large or too numerous and in 2 patients sonographic localisation was impossible. Out of a total of 131 patients with stones in the biliary tract only 9 (6.8%) needed surgery. Piezoelectric lithotripsy is a safe and effective adjunct procedure for the treatment of bile duct stones which were not extractable by endoscopy.

journal_name

Wien Klin Wochenschr

authors

Weiss W,Türk C,Brownstone E,Hruby W,Klose W,Kölbl C,Marberger M,Tuchmann A

subject

Has Abstract

pub_date

1989-09-29 00:00:00

pages

629-31

issue

18

eissn

0043-5325

issn

1613-7671

journal_volume

101

pub_type

杂志文章
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