Extracorporeal shockwave lithotripsy and litholytic therapy in cholelithiasis


Erdamar I., Avci G., Füzün M., Harmancioğlu Ö.

British Journal of Surgery, vol.79, no.3, pp.235-236, 1992 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 79 Issue: 3
  • Publication Date: 1992
  • Doi Number: 10.1002/bjs.1800790316
  • Journal Name: British Journal of Surgery
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.235-236
  • Dokuz Eylül University Affiliated: Yes

Abstract

Extracorporeal shockwave lithotripsy (ESWL) and litholytic therapy were used in 100 patients over a period of 16 months. ESWL was carried out with a Lithostar Plus and chenodeoxycholic acid was used as the lytic agent, given until 3 months after complete disappearance of stones. Within a period of 8–12 months, stones disappeared completely in 82 per cent of the patients who had a single stone ≤ 20 mm in diameter and in 50 per cent of those with a single stone > 20 mm in size or with multiple stones. Complications requiring surgery developed in five patients: three had acute cholecystitis and two developed acute pancreatitis. Of the patients in whom complete stone clearance was achieved, two of 11 followed up developed recurrence of stones 4 months after cessation of lytic therapy. Copyright © 1992 British Journal of Surgery Society Ltd.