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Related Experiment Videos

Small-bowel perforation after shockwave lithotripsy.

Nelson Rodrigues Netto1, Jean A Ikonomidis, José Antonio Longo

  • 1Division of Urology, Hospital Israelita Albert Einstein, São Paulo, Brazil. nrnetto@uol.com.br

Journal of Endourology
|December 4, 2003
PubMed
Summary
This summary is machine-generated.

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Extracorporeal shock wave lithotripsy (SWL) for ureteral stones may cause ileal perforations. Using low energy levels when treating patients in the prone position can help prevent complications during SWL procedures.

Area of Science:

  • Urology
  • Nephrology
  • Gastroenterology

Background:

  • Extracorporeal shock wave lithotripsy (SWL) is a common procedure for treating ureteral stones.
  • Patient positioning during SWL can influence treatment outcomes and complication rates.

Observation:

  • A 51-year-old woman experienced two ileal perforations after SWL for a midureteral stone.
  • The procedure involved 6000 shockwaves at energy levels of 0.33-0.42 mJ/mm2.
  • The patient was in the prone position during SWL.

Findings:

  • Ileal perforations are a potential complication of SWL for ureteral stones.
  • Low energy levels may be crucial when SWL is performed with the patient in the prone position.

Implications:

Related Experiment Videos

  • Clinicians should consider the risk of gastrointestinal complications, such as ileal perforation, when performing SWL.
  • Adjusting SWL energy settings based on patient position may be necessary to minimize risks.
  • Further research is warranted to establish optimal SWL parameters for prone positioning.