| Autor: |
Speer, Anthony G., Webb, David R., BS, Neil A. Collier. MB, McHutchinson, John G., John, D. James B. St, Clunie, Gordon J.A. |
| Zdroj: |
Medical Journal of Australia; June 1988, Vol. 148 Issue: 11 p590-595, 6p |
| Abstrakt: |
ABSTRACT Endoscopic sphincterotomy is the treatment of first choice for stones that remain in the bile duct after cholecystectomy. There is a small group of patients in whom this technique is not successful; many of these patients carry a high risk for surgery because of their age or associated medical conditions. A variety of non‐surgical techniques is available; however, none is well established. We have used an in‐vitro model to show that human gallstones are fragmented readily by shock‐wave lithotripsy. Two elderly frail patients with difficult bile‐duct stones have been treated successfully by extracorporeal shock‐wave lithotripsy. The bile ducts were cleared of stones and the patients suffered no adverse effects. Extracorporeal shock‐wave lithotripsy is a new and promising alternative to the current non‐surgical techniques for the management of bile‐duct stones. |
| Databáze: |
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