6533b7d9fe1ef96bd126cce1
RESEARCH PRODUCT
Electromagnetically generated extracorporeal shockwaves for fragmentation of extra-and intrahepatic bile duct stones: indications, success and problems during a 15 months clinical experience.
M. GoebelA HurstThelen MR. HohenfellnerA. GrosseA. FlothMildenberger PM. StaritzA. RambowT Jungingersubject
Adultmedicine.medical_specialtymedicine.medical_treatmentIntrahepatic bile ductsBile Duct DiseasesGallstonesLithotripsyExtracorporealCholelithiasisLithotripsymedicineHumansAgedAged 80 and overCholangiopancreatography Endoscopic RetrogradeCommon bile ductmedicine.diagnostic_testbusiness.industryGastroenterologyGallstonesMiddle Agedmedicine.diseaseSurgeryEndoscopymedicine.anatomical_structureBile Ducts IntrahepaticBiliary tractFemaleBile Duct DiseasesbusinessElectromagnetic PhenomenaResearch Articledescription
Electromagnetically generated extracorporeal shock waves (without waterbath) were applied after intravenous premedication with 10-15 mg diazepam and 100 mg tramadol in the treatment of 33 patients (aged 32 to 91 years) with multiple intrahepatic stones (n = 4) or huge common bile duct stones (n = 29, 18-30 mm in diameter), which could not be removed by conventional endoscopy. Stone disintegration was achieved in 70% of common bile duct stones and in all intrahepatic concrements after 800-7500 discharges, which were applied during one (n = 21), two (n = 6) or three sessions (n = 6). Apart from mild fleabite-like petechiae at the side of shock wave transmission no other side effects were observed for a total of 51 procedures. We believe electromagnetically generated shock waves are safe, easy to apply, and relatively effective in the therapy of common bile duct and intrahepatic stones.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 1990-02-01 |