| Autor: |
Plaisier PW; Department of Surgery, University Hospital of the Erasmus University Rotterdam, The Netherlands., Hamming JF, van der Hul RL, den Toom R, Bruining HA |
| Jazyk: |
angličtina |
| Zdroj: |
Surgical endoscopy [Surg Endosc] 1994 Nov; Vol. 8 (11), pp. 1335-7. |
| DOI: |
10.1007/BF00188295 |
| Abstrakt: |
We encountered significant liver fibrosis in a healthy young patient undergoing laparoscopic cholecystectomy for symptomatic gallstone disease. Twelve months prior to cholecystectomy the patient underwent multiple extracorporeal shock-wave lithotripsy (ESWL) sessions with adjuvant oral bile-acid therapy. Since the site of fibrosis corresponded clearly to the shock-wave transmission path, which was in accordance with animal studies, it was concluded that this liver fibrosis was a side effect of biliary ESWL. Based on these findings and the literature, we conclude that further assessment of the long-term safety of ESWL is still warranted, especially in patients undergoing multiple ESWL sessions. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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