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Related Experiment Videos

Biliary lithotripsy by extracorporeally generated shock waves.

M Sackmann1, G Paumgartner

  • 1Department of Medicine II, Klinikum Grosshadern, University of Munich.

Recenti Progressi in Medicina
|July 1, 1992
PubMed
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Shock wave lithotripsy offers a noninvasive option for gallstone disease, suitable for select patients without anesthesia. Fragment clearance requires specific conditions and can take months, with a low recurrence rate.

Area of Science:

  • Gastroenterology and Hepatology
  • Minimally Invasive Surgery

Background:

  • Gallstone disease affects a significant portion of the population.
  • Current treatment options for gallstones include surgical and non-surgical approaches.
  • Shock wave lithotripsy presents a noninvasive alternative for specific patient groups.

Purpose of the Study:

  • To evaluate the efficacy and patient suitability for shock wave lithotripsy in gallstone disease.
  • To identify factors influencing the clearance of gallstone fragments after treatment.
  • To assess the long-term outcomes, including recurrence rates, following shock wave lithotripsy.

Main Methods:

  • Shock wave lithotripsy (SWL) as a noninvasive treatment modality.
  • Patient selection criteria for SWL, including stone characteristics.

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  • Adjunctive therapies such as bile acid dissolution therapy.
  • Monitoring fragment clearance and recurrence over time.

    • Main Results:

    • SWL is suitable for approximately 20% of patients with gallstone disease.
    • Anesthesia is not required for this noninvasive procedure.
    • Complete fragment disappearance requires several months.
    • Factors influencing clearance include stone number, size, fragmentation success, and dissolution therapy.
    • The recurrence rate of gallstones after SWL is relatively low.

    Conclusions:

    • Shock wave lithotripsy is a viable noninvasive treatment for a subset of gallstone patients.
    • Fragment clearance is dependent on multiple factors and requires a significant time period.
    • The low recurrence rate suggests potential long-term benefits for appropriately selected patients.