Abstract |
Crushing of stones in the gallbladder in a lithotriptor (Dornje MPL-9000 model) was tested in the clinic beginning from 1989. A total of 80 lithotripsies was conducted in 60 patients with radiotransparent+ stones measuring 25 mm on the average. Up to 3,000 pulsating-wave discharges were prescribed (a total of 2 sessions), which were generated by an underwater spark discharge. All of the stones were crushed. The stone fragments were dissolved by means of xeno and ursodeoxycholic acid (7-8 mg/kg daily). Ultrasonographic control 3 months after lithotripsy showed absence of stones in 29 patients (31.6%). The stone fragments disappeared completely in 15 (60%) in a group of 25 patients with solitary stones. Biliary lithotripsy had no side effects except for skin petechiae (6.6%), short-term hematuria (3.3%), and mild colics (6.6%). Extracorporeal pulsating-wave lithotripsy in combination with litholytic therapy is a safe and effective noninvasive method for the management of gallstones in a selected group of patients.
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Authors | M A Aliev, S Sh Baĭzhanov, A A Amanbaev, M A Aĭtkazin, G R Izbasarova, S V Mamedova |
Journal | Khirurgiia
(Khirurgiia (Mosk))
Issue 10
Pg. 61-6
(Oct 1990)
ISSN: 0023-1207 [Print] Russia (Federation) |
Vernacular Title | Biliarnaia litotripsiia--metod lecheniia kamneĭ zhelchnogo puzyria. |
PMID | 2283754
(Publication Type: Journal Article)
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Chemical References |
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Topics |
- Adult
- Aged
- Cholelithiasis
(diagnostic imaging, therapy)
- Equipment Design
- Female
- Humans
- Lithotripsy
(instrumentation, methods)
- Male
- Middle Aged
- Particle Size
- Time Factors
- Ultrasonography
- Ursodeoxycholic Acid
(administration & dosage)
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