| Extracorporeal shockwave lithotripsy for treatment of intrahepatic stones: in vitro and in vivo studies. | |
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MedLine Citation:
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PMID: 8509047 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In vitro, bile duct stones, mostly comprising calcium bilirubinate, are readily fragmented by extracorporeal shockwave lithotripsy (ESWL). In the case of intrahepatic stones, ESWL is effective if the stones float freely in the bile, but if the stones completely fill, or are impacted within, the hepatic duct or bile duct, attempts at fragmentation will end in failure. Three patients with intrahepatic stones were treated with ESWL, and effectively fragmented. The stone fragments passed out spontaneously through T-tube sinus tract, PTDC sinus tract and the sphincter of Oddi as shown in the second cholangiogram. No specific complication was noted in our experimental and clinical experience. We believe that ESWL for fragmentation of biliary stones is technically reliable. The problem of the passage of these fragmented stones is considered; if necessary, it can be overcome by endoscopic means. |
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Authors:
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C G Ker; C H Hwang; J S Chen; K T Lee; P C Sheen |
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Publication Detail:
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Type: In Vitro; Journal Article |
Journal Detail:
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Title: Hepato-gastroenterology Volume: 40 ISSN: 0172-6390 ISO Abbreviation: Hepatogastroenterology Publication Date: 1993 Apr |
Date Detail:
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Created Date: 1993-07-15 Completed Date: 1993-07-15 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8007849 Medline TA: Hepatogastroenterology Country: GERMANY |
Other Details:
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Languages: eng Pagination: 159-62 Citation Subset: IM |
Affiliation:
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Department of Surgery, Kaohsiung Medical College Hospital, Taiwan, R.O.C. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Bile Duct Diseases / therapy Bile Ducts, Intrahepatic* Cholelithiasis / therapy* Female Gallstones / therapy Humans Lithotripsy* Male Middle Aged |
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