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[Biliary lithotripsy--a method of the treatment of cholelithiasis].

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.
AuthorsM A Aliev, S Sh Baĭzhanov, A A Amanbaev, M A Aĭtkazin, G R Izbasarova, S V Mamedova
JournalKhirurgiia (Khirurgiia (Mosk)) Issue 10 Pg. 61-6 (Oct 1990) ISSN: 0023-1207 [Print] Russia (Federation)
Vernacular TitleBiliarnaia litotripsiia--metod lecheniia kamneĭ zhelchnogo puzyria.
PMID2283754 (Publication Type: Journal Article)
Chemical References
  • Ursodeoxycholic Acid
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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