[Biliary shock-wave lithotripsy. Fragmentation and lysis--a new procedure].
Between September 1986 and April 1987, extracorporeal shock-wave lithotripsy, supplemented by oral chemolitholysis, was undertaken on 157 patients with symptoms of gallstones. Partial or complete stone fragmentation was achieved in 148 (94.3%). Freedom from stones was maintained under continuous chemolysis treatment for an average observation period of 8.5 weeks in 31 (19.7%). Considerable fragment reduction was obtained in 97 (61.8%), of whom 26 (16.6%) were demonstrated to have only minimal stone residues. Insufficient fragmentation and (or) no response to litholysis occurred in 29 (18.5%). These preliminary results suggest that, if there are moderately sized (less than 25 mm) and only a few (1-3) noncalcified cholesterol stones, these two methods in combination promise to be an effective alternative to cholecystectomy.
Greiner
L
L
Abteilung für Gastroenterologie, Städtischen Ferdinand-Sauerbruch-Klinikums, Wuppertal.
Wenzel
H
H
Jakobeit
C
C
D000328:Adult; D000368:Aged; D002769:Cholelithiasis / Q000175:diagnosis / Q000628:therapy*; D003131:Combined Modality Therapy; D003840:Deoxycholic Acid / Q000627:therapeutic use; D006801:Humans; D008096:Lithotripsy / Q000379:methods*; D008875:Middle Aged; D014463:Ultrasonography
D003840:Deoxycholic Acid
Biliäre Stosswellen-Lithotripsie. Fragmentation und Lyse--ein neues Verfahren.