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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1989-2-6
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pubmed:abstractText |
A prospective uncontrolled multicenter trial was performed on 113 patients with bile duct stones in whom routine endoscopic approaches for removal of the calculi had failed. These represented 8.3% of the patients referred to the participating centers for endoscopic extraction of the stones. Extracorporeal shock-wave lithotripsy using the Dornier kidney lithotripter achieved stone disintegration in 103 patients (91%). Complete stone clearance from the bile ducts was obtained in 97 patients (86%) after a median of 4 days following extracorporeal shock-wave lithotripsy. Adverse effects, mostly mild, occurred in 36% of the patients. A 30-day mortality rate of 0.9% (in-hospital mortality rate = 1.8%) of this high-risk group with a mean age of 72 yr and a cholangitis rate of 26% compared favorably with the data given for open surgery. We therefore consider extracorporeal shock-wave lithotripsy a useful method for the treatment of bile duct stones not amenable to routine endoscopic measures.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
0016-5085
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
96
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
146-52
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:2642439-Aged,
pubmed-meshheading:2642439-Aged, 80 and over,
pubmed-meshheading:2642439-Bile Duct Diseases,
pubmed-meshheading:2642439-Cholelithiasis,
pubmed-meshheading:2642439-Endoscopy,
pubmed-meshheading:2642439-Female,
pubmed-meshheading:2642439-Humans,
pubmed-meshheading:2642439-Lithotripsy,
pubmed-meshheading:2642439-Male,
pubmed-meshheading:2642439-Multicenter Studies as Topic,
pubmed-meshheading:2642439-Prospective Studies
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pubmed:year |
1989
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pubmed:articleTitle |
Fragmentation of bile duct stones by extracorporeal shock waves. A new approach to biliary calculi after failure of routine endoscopic measures.
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pubmed:affiliation |
Med. Klinik II, Klinikum Grosshadern, University of Munich, Federal Republic of Germany.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Multicenter Study
|