Abstract | AIMS: DESIGN OF STUDY: Retrospective evaluation after 2 1/2 years application in the department; prospective study for stone recurrence with ASA. PATIENTS: A total of 246 patients with gallbladder stones selected on the basis of the Munich criteria; 171 patients were followed up for at least 24 months. RESULTS: With piezoelectric shockwave lithotripsy treatment can mostly be carried out without the need for analgesia. When the indication is strictly applied, a stone-free rate of almost 90% after one year can be achieved. To achieve this, regular use of bile acids for dissolution of the fragments remaining after lithotripsy is required. At the present time, our recurrence rate is around 14% after one and two years. The use of acetylsalicylic acid recurrent stone prophylaxis was of no benefit. CONCLUSIONS:
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Authors | J F Riemann, J Weber, H E Adamek, A Buttmann |
Journal | Fortschritte der Medizin
(Fortschr Med)
Vol. 110
Issue 1-2
Pg. 37-8, 41-2
(Jan 20 1992)
ISSN: 0015-8178 [Print] Germany |
Vernacular Title | Stosswellenbehandlung von Gallenblasensteinen. Aktueller Stand der Therapie. |
PMID | 1563697
(Publication Type: English Abstract, Journal Article)
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Chemical References |
- Chenodeoxycholic Acid
- Ursodeoxycholic Acid
|
Topics |
- Adult
- Aged
- Chenodeoxycholic Acid
(administration & dosage)
- Cholelithiasis
(therapy)
- Combined Modality Therapy
- Female
- Follow-Up Studies
- Gallstones
(therapy)
- Humans
- Lithotripsy
- Male
- Middle Aged
- Prospective Studies
- Retrospective Studies
- Ursodeoxycholic Acid
(administration & dosage)
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