Related Experiment Video
Updated: May 23, 2026
03:56
A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy
Published on: September 13, 2022
Oral gallstone dissolution therapies
Rhea Faye D Felicilda-Reynaldo1
1Nursing Department, Missouri State University, Springfield, MO, USA.
Medsurg Nursing : Official Journal of the Academy of Medical-Surgical Nurses
|April 7, 2012
Summary
Surgery is the primary treatment for gallstones (cholelithiasis). Oral dissolution therapy offers an alternative for high-risk patients, relieving biliary colic and preventing new gallstone formation.
Area of Science:
- Gastroenterology
- Hepatobiliary Medicine
Background:
- Cholelithiasis, or gallstones, is a common condition.
- Surgery is the standard treatment but carries risks.
- Alternative therapies are needed for specific patient groups.
Purpose of the Study:
- To evaluate oral dissolution therapy as an alternative for cholelithiasis.
- To assess its efficacy in managing biliary colic and preventing gallstone recurrence.
Main Methods:
- Review of existing literature on oral dissolution therapy for gallstones.
- Analysis of patient outcomes including symptom relief and gallstone formation.
Main Results:
- Oral dissolution therapy provides relief from biliary colic.
- It effectively prevents the formation and accumulation of new gallstones during treatment.
- This therapy is a viable option when surgery is contraindicated or refused.
Conclusions:
- Oral dissolution therapy is a safe and effective alternative for managing cholelithiasis.
- It offers significant benefits for patients unable to undergo surgery.
- This approach aids in managing gallstone disease and improving patient quality of life.
Related Concept Videos
01:26Peptic Ulcer Disease IV: Management
Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current medication...
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current medication...
01:14Prevention of Further Absorption of Poison
In cases of acute poisoning, the primary objective is to prevent further absorption of the toxic substance into the body. Immediate interventions using various decontamination techniques targeting the gastrointestinal (GI) tract can achieve this. Decontamination is crucial to prevent poison from entering the systemic circulation, which involves washing affected areas with water and mild soap and removing contaminated clothing. Once external decontamination is done, attention must be turned to...
01:30Urinary Tract Calculi III: Medical Management
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
01:26Pharmaceutical Poisoning: Treatment Strategies
Treatment strategies for poisoning are a critical aspect of emergency medicine, focusing on preventing the absorption of toxins and enhancing their elimination. When a poisoning incident occurs, the first response is to halt exposure and decontaminate the patient, particularly through gastrointestinal (GI) methods if the poison was ingested.Gastrointestinal Decontamination Techniques:Activated charcoal is the cornerstone of GI decontamination. It works through adsorption, binding the toxin to...
01:25Urinary Tract Calculi VI: Surgical Management
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
01:17In Vitro Drug Dissolution: Alternative Methods
Alternative drug dissolution methods include the rotating bottle, intrinsic dissolution test, peristalsis, and the Franz diffusion cell method. The rotating bottle method involves meticulously rotating tightly capped controlled-release beads in a temperature-controlled bath. Periodic decanting of samples allows for residue assay, followed by refilling with fresh medium and testing at various pH levels to emulate the gastrointestinal tract conditions.In contrast, the intrinsic dissolution test...