Following extracorporeal shock wave lithotripsy it is not known whether gallstone fragments are cleared from the gallbladder without the use of oral dissolution therapy. To assess the efficacy of lithotripsy and dissolution therapy, alone or in combination, 35 patients were randomized to one of thre
Gallstone ileus treated with extracorporeal shock wave lithotripsy
β Scribed by Ann Elewaut; M. Afschrift; F. Barbier
- Publisher
- John Wiley and Sons
- Year
- 1993
- Tongue
- English
- Weight
- 272 KB
- Volume
- 21
- Category
- Article
- ISSN
- 0091-2751
No coin nor oath required. For personal study only.
β¦ Synopsis
Gallstone ileus is caused by a gallstone impacted in the intestinal lumen. Usually the gallstone enters the bowel through a cholecystoduodenal fistula and travels a varying length aborally before stopping. This situation often requires an emergency laparotomy. A case is presented where the gallstone was localized ultrasonographically in the intestine. The patient was suc- cessfully treated with shock wave lithotripsy.
π SIMILAR VOLUMES
The extraction of large gallstones in laparoscopic cholecystectomy either requires the enlargement of one of the incisions or intraoperative lithotripsy. Preoperative extracorporeal shock-wave lithotripsy (ESWL) might theoretically solve the problem and facilitate the extraction of the gallbladder.
The aim of this study was to determine whether extracorporeal shock wave lithotripsy (ESWL) affected the viability of the infecting bacteria within a simulated struvite stone matrix. A strain, Proteus mirabilis 28cii, was prepared in three forms: (1) suspended in saline and urine, (2) artificially e