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[Extracorporeal lithotripsy in gallbladder lithiasis].

G Pelletier1, J P Etienne

  • 1Service des Maladies du foie et de l'appareil digestif, Hôpital de Bicêtre, Le Kremlin-Bicêtre.

Presse Medicale (Paris, France : 1983)
|May 27, 1989
PubMed
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Extracorporeal shock-wave lithotripsy (ESWL) effectively fragments gallstones, but requires oral bile acid therapy for complete clearance. Further research is needed to define optimal ESWL use for gallstone treatment.

Area of Science:

  • Gastroenterology
  • Medical Technology
  • Urology

Context:

  • Extracorporeal shock-wave lithotripsy (ESWL) has been an alternative to surgery for gallstone disease since 1986.
  • ESWL induces gallstone fragmentation, with total stone volume being a key factor.
  • Oral bile acid therapy is essential for complete fragment disappearance post-lithotripsy.

Purpose:

  • To discuss the methodology, inclusion/exclusion criteria, and results of ESWL for gallstone treatment.
  • To evaluate the preliminary safety and efficacy of ESWL in gallstone fragmentation.
  • To identify key questions for determining the optimal role of ESWL in gallstone management.

Summary:

  • ESWL shows satisfactory preliminary results for gallstone fragmentation and safety.

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  • Complete gallstone fragment clearance necessitates concurrent oral bile acid therapy.
  • Optimal lithotripter choice, indications, recurrence rates, and monitoring require further investigation.

    • Impact:

    • ESWL offers a less invasive option for treating uncomplicated gallstone disease.
    • Defines critical areas for future research to establish ESWL's definitive place in gallstone therapy.
    • Current application of ESWL should be limited to symptomatic gallstones pending further evaluation.