title: [Dissolution of recurrent stones in the choledochus by a modified irrigation treatment via an indwelling nasobiliary catheter].
abstract: Alternating fluid rinsing with a modified glyceromono-octanoate (GMOC) and bile salt-EDTA (BA-EDTA) solution via an endoscopically placed indwelling nasal biliary catheter was performed on 15 patients (13 women, 2 men) with recurrent stones in the choledochal duct after cholecystectomy. Of 12 radiotranslucent and three radioopaque concrements with a mean diameter of 1.72 X 2.05 cm (largest concrement: 3.0 X 3.5, smallest 1.0 X 2.1 cm) 13 were dissolved (87% success rate). In one patient chemolitholysis had to be stopped because of electrolyte abnormalities, before treatment had been completed. After the end of treatment all patients were free of symptoms and during a fairly long follow-up period no stone recurrences were observed.
mesh_terms: D000368:Aged; D001647:Bile Acids and Salts / Q000008:administration & dosage; D002210:Caprylates; D002408:Catheters, Indwelling; D002763:Cholecystectomy; D003135:Common Bile Duct; D004338:Drug Combinations; D004492:Edetic Acid / Q000008:administration & dosage; D005260:Female; D042882:Gallstones / Q000628:therapy*; D005989:Glycerides / Q000008:administration & dosage; D006801:Humans; D008297:Male; D008875:Middle Aged; D009666:Nose; D011183:Postoperative Complications / Q000628:therapy; D012008:Recurrence; D012996:Solutions; D007507:Therapeutic Irrigation / Q000295:instrumentation / Q000379:methods; D013997:Time Factors
chemical_list: D001647:Bile Acids and Salts; D002210:Caprylates; D004338:Drug Combinations; D005989:Glycerides; D012996:Solutions; D004492:Edetic Acid; C025343:monooctanoin
vernacular_title: Auflösung von Rezidivsteinen im Choledochus durch modifizierte Spülbehandlung über eine nasobiliäre Verweilsonde.