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Related Experiment Videos

Is routine chest radiography required with biliary lithotripsy?

D E Malone1, C D Becker, N L Müller

  • 1Department of Radiology, University of British Columbia, Vancouver, Canada.

AJR. American Journal of Roentgenology
|May 1, 1989
PubMed
Summary
This summary is machine-generated.

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Routine chest X-rays before and after biliary extracorporeal shock-wave lithotripsy are unnecessary. A review of 107 procedures found no pulmonary or pleural changes, concluding these radiographs are not warranted for patients.

Area of Science:

  • Medical Imaging
  • Gastroenterology
  • Interventional Radiology

Background:

  • Pre- and post-procedure chest radiographs are standard for biliary extracorporeal shock-wave lithotripsy (BESWL).
  • The necessity of these routine imaging protocols has not been critically evaluated.

Purpose of the Study:

  • To assess the clinical utility of routine pre- and post-BESWL chest radiographs.
  • To determine if pulmonary or pleural complications arise from BESWL.

Main Methods:

  • Retrospective review of 107 chest radiographs (posteroanterior and lateral views) from 75 patients undergoing BESWL.
  • Radiographs were obtained before and after lithotripsy sessions.
  • All images were interpreted by a dedicated chest radiologist.

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Main Results:

  • No pulmonary or pleural abnormalities were detected in any patient following BESWL.
  • The study included patients with gallbladder, cystic duct, and common duct stones.

Conclusions:

  • Routine pre- and post-lithotripsy chest radiographs are not indicated for patients undergoing biliary extracorporeal shock-wave lithotripsy.
  • The findings suggest a potential to streamline patient care by omitting these routine imaging procedures.