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Clinical experience with biliary extracorporeal shock wave lithotripsy
1Department of Radiology, Middlesex Hospital, London, United Kingdom.
Radiologic Clinics of North America
|November 1, 1990
Summary
Biliary lithotripsy offers a non-surgical option for gallstones and bile duct stones, often without general anesthesia. Patient selection and adjuvant therapies are key for successful fragment clearance.
Area of Science:
- Gastroenterology and Hepatology
- Minimally Invasive Procedures
Background:
- Gallbladder, cystic duct, and bile duct stones pose significant clinical challenges.
- Nonsurgical management options are continually evolving.
Purpose of the Study:
- To review the advancements and current status of biliary lithotripsy.
- To discuss critical aspects of patient selection and adjuvant therapy in biliary lithotripsy.
Main Methods:
- Review of second-generation biliary lithotripsy machines.
- Analysis of patient selection criteria for the procedure.
- Evaluation of adjuvant therapies for fragment clearance.
- Comparison of results from multiple centers.
Main Results:
- Biliary lithotripsy is a significant development in nonsurgical stone management.
- Newer machines often do not require general or epidural anesthesia.
- Patient selection and adjuvant therapy are crucial for optimal outcomes.
Conclusions:
- Biliary lithotripsy represents a promising nonsurgical approach for biliary stones.
- Further long-term data (beyond 18 months) is needed to fully assess outcomes.