Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
1994-11-30
pubmed:abstractText
In a pilot study of direct dissolution therapy of gallstones with methyl tert-butyl ether (MTBE), endoscopic transpapillary catheterization in the gallbladder (ETCG) was performed. Complete dissolution was seen in 8 out of 12 (66%) patients and partial dissolution was seen in 2 (16%) patients. In one of the 8 complete dissolution patients, combined extracorporeal shock wave lithotripsy (ESWL) and dissolution therapy was carried out successfully. These 8 patients were followed up for 12-20 months with regular ultrasonography. During this period, 1 patient underwent laparoscopic cholecystectomy due to stone recurrence. Thickening of the gallbladder wall was seen in 2 patients, but there were no other complications. Using Tsuchiya's classification based on ultrasound, complete dissolution was seen in type Ia stones. This pilot study suggests that the direct dissolution of gallstones with MTBE via ETCG might be a useful and safe non-invasive treatment in patients with cholesterol stones in preserved gallbladders.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
0944-1174
pubmed:author
pubmed:issnType
Print
pubmed:volume
29
pubmed:owner
NLM
pubmed:authorsComplete
N
pubmed:pagination
486-94
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:7951860-Adult, pubmed-meshheading:7951860-Aged, pubmed-meshheading:7951860-Aged, 80 and over, pubmed-meshheading:7951860-Animals, pubmed-meshheading:7951860-Catheterization, pubmed-meshheading:7951860-Cholangiopancreatography, Endoscopic Retrograde, pubmed-meshheading:7951860-Cholelithiasis, pubmed-meshheading:7951860-Combined Modality Therapy, pubmed-meshheading:7951860-Endoscopy, Digestive System, pubmed-meshheading:7951860-Ethers, pubmed-meshheading:7951860-Female, pubmed-meshheading:7951860-Gallbladder, pubmed-meshheading:7951860-Humans, pubmed-meshheading:7951860-Lithotripsy, pubmed-meshheading:7951860-Male, pubmed-meshheading:7951860-Methyl Ethers, pubmed-meshheading:7951860-Middle Aged, pubmed-meshheading:7951860-Pilot Projects, pubmed-meshheading:7951860-Rabbits, pubmed-meshheading:7951860-Solvents
pubmed:year
1994
pubmed:articleTitle
Direct dissolution of gallstones with methyl tert-butyl ether (MTBE) via endoscopic transpapillary catheterization in the gallbladder (ETCG).
pubmed:affiliation
Third Department of Internal Medicine, Kagawa Medical School, Japan.
pubmed:publicationType
Journal Article, Clinical Trial, Case Reports