PMID: 16633122Apr 25, 2006Paper

Clearance of irretrievable bile duct and pancreatic duct stones by extracorporeal shockwave lithotripsy, using a transportable device: effectiveness and medium-term results

Journal of Clinical Gastroenterology
Rita ConigliaroGiuliano Bedogni

Abstract

Extracorporeal shockwave lithotripsy (ESWL) is an established treatment of irretrievable biliary and pancreatic stones, but the cost of the shockwave generators limits its widespread use. We revised data about the effectiveness of our treatment for refractory stones using a transportable shockwave generator. We retrospectively evaluated the short and medium-term outcomes of patients who underwent ESWL using a transportable electromagnetic shockwave generator between 1998 and 2003 at our unit, for the treatment of irretrievable bile duct or pancreatic duct stones. All patients received intravenous conscious sedation and antibiotic prophylaxis. Complete stone clearance was achieved in 70/82 patients (85.4%), in 66 of the patients (94.2%) with 1 session of ESWL. Despite the insertion of a stent in the bile duct, 2 patients had moderate cholangitis, while they waited for the next ESWL session. We did not record any moderate-severe complication of ESWL, but 2 patients underwent surgery owing to perforation/bleeding during endoscopic removal of residual fragments. A symptomatic recurrence of stones was recorded in 10/69 (14.5%) patients, who had been previously cleared and whose follow-up data (median follow-up 29 mo; range 7 to 66) ...Continue Reading

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Citations

Jan 25, 2013·World Journal of Gastroenterology : WJG·Guru TrikudanathanMansour A Parsi
Aug 12, 2014·World Journal of Gastroenterology : WJG·Tao TaoYan-Qing Li
Aug 13, 2009·Gastroenterology Research and Practice·Abolfazl ShojaiefardArianeb Mehrabi
Jun 20, 2017·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Rosangela MuratoriFrancesco Azzaroli
Oct 14, 2014·World Journal of Gastroenterology : WJG·Renato CostiLeopoldo Sarli
Oct 15, 2013·Journal of Hepato-biliary-pancreatic Sciences·Toshio FujisawaNobuyuki Matsuhashi
Oct 17, 2020·Journal of Translational Internal Medicine·Muhammad Manzoor Ul HaqueGhulam Ullah Lail
Jul 31, 2021·World Journal of Gastrointestinal Endoscopy·Cosmas Rinaldi Adithya LesmanaLaurentius Adrianto Lesmana
Aug 10, 2021·World Journal of Gastroenterology : WJG·Pasquale Cianci, Enrico Restini

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