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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
4
|
| pubmed:dateCreated |
1992-5-5
|
| pubmed:abstractText |
Endoscopic treatment of bile duct stones is currently successful in 86% of patients. We prospectively studied the efficacy and complication rate of extracorporeal shock-wave lithotripsy (ESWL) of problematic bile duct stones combined with endoscopy. When stone removal was not possible, patients were subjected to ESWL. Fragmented stones were removed endoscopically. During 1 year, 220 patients presenting with choledocholithiasis were diagnosed and 188 were successfully treated endoscopically. In all, 3 subjects received alternative treatment and the remaining 29 (13%) constituted our study group; 19 (65%) were women and the mean age was 76.7 years. Overall, 22 (76%) were high-risk patients; 23 (79%) were jaundiced and 9 (31%) had cholangitis at admission. The most frequent indication for ESWL was stone size. Stone fragmentation was achieved in 80% of cases. Complications were mild and were managed conservatively. No patient died. Complete stone clearance was possible in 23 (80%) cases. The association of ESWL and endoscopy enhanced the success rate of endoscopic stone clearance from 86% to 96%. During the same period, open surgery was performed in 4 cases for residual common bile duct (CBD) stones and in 32 cases in association with simultaneous cholecystectomy.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:issn |
0930-2794
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
5
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
196-9
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:1805397-Aged,
pubmed-meshheading:1805397-Bile Duct Diseases,
pubmed-meshheading:1805397-Cholangiopancreatography, Endoscopic Retrograde,
pubmed-meshheading:1805397-Cholelithiasis,
pubmed-meshheading:1805397-Combined Modality Therapy,
pubmed-meshheading:1805397-Endoscopy, Digestive System,
pubmed-meshheading:1805397-Female,
pubmed-meshheading:1805397-Humans,
pubmed-meshheading:1805397-Lithotripsy,
pubmed-meshheading:1805397-Male,
pubmed-meshheading:1805397-Prospective Studies,
pubmed-meshheading:1805397-Risk
|
| pubmed:year |
1991
|
| pubmed:articleTitle |
Extracorporeal shock-wave lithotripsy and endoscopy: combined therapy for problematic bile duct stones.
|
| pubmed:affiliation |
Abteilung für Endoskopie, Fakultät für Klinische Medizin, Universität Heidelberg, Mannheim, Federal Republic of Germany.
|
| pubmed:publicationType |
Journal Article
|