The efficacy of extracorporeal shock wave lithotripsy on single dense calcified gallstones according to computed tomography.

Abstract:

:The efficacy and complications of extracorporeal shock wave lithotripsy (ESWL) for single gallstones were compared between 15 patients with a CT-lucent stone and 18 patients with a dense calcified stone. In all of five patients with a stone smaller than 10 mm in diameter, complete or sufficient clearance was observed, regardless of calcification. However, in 28 patients with a stone larger than 11 mm in diameter, the rates of complete or sufficient clearance were lower in those with a dense calcified stone (64%) than in those with a computed tomography (CT) lucent stone (93%). There was no difference in the rate of complications between patients with a CT-lucent stone and those with a dense calcified stone. These results thus suggest that extracorporeal shock wave lithotripsy may be safely employed for patients with a single calcified gallstone.

journal_name

Surg Today

journal_title

Surgery today

authors

Mori T,Shimono K,Moriyama S,Masuda T,Ikeda T,Umegae S,Nagata N

doi

10.1007/BF00309494

subject

Has Abstract

pub_date

1993-01-01 00:00:00

pages

387-9

issue

5

eissn

0941-1291

issn

1436-2813

journal_volume

23

pub_type

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