[Extracorporeal shockwave lithotripsy in the treatment of common bile duct calculi].
Fifteen patients with stones in the common bile duct, in whom treatment with endoscopic papillotomy and stone-extraction had been unsuccessful were treated with extracorporeal shockwave lithotripsy. Nine patients were stone-free after one or two sessions, and two patients after further endoscopic treatment. One patient achieved partial clearance and palliation. One patient had a choledochoduodenostomy performed due to ineffectiveness of the shockwave lithotripsy. Two patients, who were thought to have a stone, turned out to have neoplasma in the common bile duct. Complications were frequent but temporary and needed no treatment. We conclude that extracorporeal shockwave lithotripsy is a valuable and safe alternative in those cases where conventional endoscopic treatment has failed, and should be considered before operation, especially to old for high-risk patients.
Amstrup
J H
JH
Kirurgisk afdeling K., Bispebjerg Hospital, København.
Eldrup
J
J
Wille-Jørgensen
P A
PA
D000328:Adult; D000368:Aged; D005069:Evaluation Studies as Topic; D005260:Female; D042882:Gallstones / Q000628:therapy*; D006801:Humans; D008096:Lithotripsy / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies
Ekstrakorporal schockbølgelitotripsi ved behandling af sten i ductus choledochus.