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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1992-4-29
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pubmed:abstractText |
420 patients were referred to our center for gallstone lithotripsy. 97 patients (23%) with radiolucent gallbladder stones (total diameter less than or equal to 3 cm) and intact gallbladder function were found suitable for extracorporal shock-wave lithotripsy. Disintegration of gallbladder stones was achieved in 92 of the 97 patients (95%). Chenodeoxycholic acid and ursodeoxycholic acid were used as adjuvant litholytic therapy. The therapeutic results were evaluated cumulatively in 90 patients after a follow-up of 10 months. 80% of patients with solitary stones (less than or equal to 20 mm in diameter (n = 46) had a stone-free gallbladder, whereas patients with solitary stones greater than 2 cm, less than or equal to 3 cm in diameter (n = 20) and multiple stones (n = 22) became stone-free in only 28% (p less than 0.01). During the observation period 21 patients (23%) experienced biliary colics, 2 (2%) mild pancreatitis, 2 (2%) showed fragment impaction in the common bile duct, and 17 (19%) displayed transient microscopic hematuria. Our results confirm previous studies showing that solitary stones sized up to 2 cm in diameter represent the best suited subgroup for extracorporeal shock-wave lithotripsy.
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pubmed:language |
ger
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0044-2771
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
30
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
121-4
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pubmed:dateRevised |
2009-11-11
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pubmed:meshHeading |
pubmed-meshheading:1553825-Aged,
pubmed-meshheading:1553825-Chenodeoxycholic Acid,
pubmed-meshheading:1553825-Cholelithiasis,
pubmed-meshheading:1553825-Colic,
pubmed-meshheading:1553825-Female,
pubmed-meshheading:1553825-Follow-Up Studies,
pubmed-meshheading:1553825-Hematuria,
pubmed-meshheading:1553825-Humans,
pubmed-meshheading:1553825-Lithotripsy,
pubmed-meshheading:1553825-Male,
pubmed-meshheading:1553825-Middle Aged,
pubmed-meshheading:1553825-Pancreatitis,
pubmed-meshheading:1553825-Ursodeoxycholic Acid
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pubmed:year |
1992
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pubmed:articleTitle |
[Combination therapy of gallbladder stones using extracorporeal shock waves and bile acids: results in relation to stone diameter and stone number].
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pubmed:affiliation |
Freie Universität Berlin, Klinikum Steglitz.
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pubmed:publicationType |
Journal Article,
English Abstract
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