Infusional therapy for post-surgical biliary stones.
A variety of effective non-surgical forms are used for dealing with retained and recurrent biliary stones. These are endoscopic papillotomy, infusional therapy, intraductal laser or electrohydraulic lithotripsy and extracorporeal shock waves. Saline washout or chemical stone dissolution is currently used in high-risk subjects or in cases in which endoscopic papillotomy fails. For many years now drugs that should dissolve stones topically have been tested by direct infusion into the biliary tract. This approach has given better results over the last ten years with the adoption of Monooctanoin (Mo) and more recently Methyl tertbutyl ether (MTBE). Both preparations have their pros and cons, which are weighed.
Tritapepe
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Cattedra di Patologia Speciale Chirurgica, Università degli Studi di Milano, Italy.
Pozzi
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D002210:Caprylates; D002108:Ceruletide / Q000008:administration & dosage; D002763:Cholecystectomy; D004359:Drug Therapy, Combination; D004987:Ethers / Q000008:administration & dosage; D042882:Gallstones / Q000188:drug therapy*; D005989:Glycerides / Q000008:administration & dosage; D006801:Humans; D008738:Methyl Ethers; D011183:Postoperative Complications / Q000188:drug therapy*; D012997:Solvents / Q000008:administration & dosage*; D007507:Therapeutic Irrigation
D002210:Caprylates; D004987:Ethers; D005989:Glycerides; D008738:Methyl Ethers; D012997:Solvents; C043243:methyl tert-butyl ether; D002108:Ceruletide; C025343:monooctanoin