Extracorporeal cholecystolithotripsy without oral chemolitholysis

Autor:	H. J. Burhenne, J S Fache, Brijendra Rawat
Rok vydání:	1990
Předmět:	medicine.medical_specialty Chemotherapy Time Factors business.industry medicine.medical_treatment Lithotripsy Biliary lithotripsy Extracorporeal Surgery Treatment success Cholelithiasis medicine Humans Radiology Nuclear Medicine and imaging Complication business Follow-Up Studies Ultrasonography
Zdroj:	Radiology. 177:719-721
ISSN:	1527-1315 0033-8419
DOI:	10.1148/radiology.177.3.2243975
Popis:	One hundred thirty-six patients completed extracorporeal biliary lithotripsy (EBL) for symptomatic cholecystolithiasis. Sonographic evidence of complete clearance of all stone fragments was the only criterion for treatment success, which occurred in 32 of the 71 patients (45%) followed up for 24 weeks and in 36 of the 59 patients (61%) followed up for 52 weeks. The authors' protocol varied from protocols of other researchers primarily in that no adjuvant chemolitholysis was used. However, the number of treatment sessions and total number of shock waves (a maximum of 4,000 shock waves per treatment session, 12,000 shock waves in a patient demonstrating no significant fragmentation, and 20,000 shock waves in a patient whose stones responded well to fragmentation) was higher than those in other reports. The results of treatment and complication rates in this study are comparable with those at centers using both shock-wave lithotripsy and chemotherapy. The authors conclude that EBL is developing into an important alternative to surgery, which was obviated in all patients with complete clearance of fragments from the gallbladder.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::38998415345850cfb9916a3e31c38365 https://doi.org/10.1148/radiology.177.3.2243975 Zobrazit plný text záznamu