[Clinical relevance of extracorporeal shockwave lithotripsy (ESWL) in choledocholithiasis].
Primary endoscopic removal of bile duct stones is an established method of treatment. However, the extraction of stones is impossible in about 10% of cases despite successful endoscopic papillotomy and manual lithotripsy. Over a period of two years extracorporeal shock-wave lithotripsy (ESWL) was performed in 32 patients. Piezolith 2200, a second generation lithotripter was used, which requires neither analgesia nor anaesthesia for the patient. Localisation of the stones was carried out by means of a 3.5 MH 2 sector scanner. ESWL treatment was successful in 24 of 32 patients (75%). In 6 patients the bile duct stones were too large or too numerous and in 2 patients sonographic localisation was impossible. Out of a total of 131 patients with stones in the biliary tract only 9 (6.8%) needed surgery. Piezoelectric lithotripsy is a safe and effective adjunct procedure for the treatment of bile duct stones which were not extractable by endoscopy.
Weiss
W
W
IV. Medizinische Abteilung, Krankenanstalt Rudolfstiftung, Wien.
Türk
C
C
Brownstone
E
E
Hruby
W
W
Klose
W
W
Kölbl
C
C
Marberger
M
M
Tuchmann
A
A
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D042882:Gallstones / Q000628:therapy*; D006801:Humans; D008096:Lithotripsy; D008297:Male; D008875:Middle Aged
Klinische Relevanz der extrakorporalen Stosswellenlithotripsie (ESWL) bei Choledocholithiasis.