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Gallbladder Stones: Indications and Limits of Extracorporeal Shock Wave Lithotripsy

  • A. Salvini
  • P. Pizzi
  • S. Faustini
  • C. Spizzichi

Abstract

From August 1, 1987, until December 31, 1987, we treated 66 selected patients with gallbladder stones by extracorporeal shock wave lithotripsy, using the Siemens Lithostar. General anesthesia was never used; analgesia with sedatives was given to 34 patients. In the remaining patients, no drugs were employed. Visualization of the gallbladder was obtained using oral or intravenous contrast media. The stones were focused using a biplane fluoroscopic system with the patients in the prone position. Fragmentation of the stones was obtained after the first session of ESWL in six patients, after two treatments in 13 patients, after three treatments in ten patients, and after four treatments in 11 patients. In 26 patients treatments were ineffective. We observed two cases of mild, transient pancreatitis that were treated by endoscopic sphincterotomy.

Keywords

Shock Wave Lithotripsy Ursodeoxycholic Acid Extracorporeal Shock Wave Lithotripsy Chenodeoxycholic Acid Endoscopic Sphincterotomy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

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    Danzinger RG, Hofmann AF, Schoenfield LJ, et al: Dissolution of cholesterol gallstones by chenodeoxycholic acid. NEJM 286: 1, 1972.PubMedCrossRefGoogle Scholar
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    Forgacs I: Shock waves for gallstones. Br Med J 295: 737, 1987.CrossRefGoogle Scholar
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    Allen MJ, Borody TJ, Bugliosi TF, et al: Rapid dissolution of gallstones by methyl-tert butyl ether: preliminary observations NEJM 313: 217, 1985.CrossRefGoogle Scholar
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    Ruppin DC and Dowling RH: Is recurrence inevitable after gallstone dissolution? The Lancet 1: 181, 1982.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1988

Authors and Affiliations

  • A. Salvini
    • 1
  • P. Pizzi
    • 1
  • S. Faustini
    • 1
  • C. Spizzichi
    • 1
  1. 1.Ospedale S. DonatoUniversita di MilanoSan Donato Milanese (MI)Italy

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