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[The value of shockwave lithotripsy]

C Beglinger1

  • 1Abteilung für Gastroenterologie, Kantonsspital Basel.

Schweizerische Medizinische Wochenschrift
|March 26, 1994
PubMed
Summary

Laparoscopic cholecystectomy is the standard surgery for symptomatic gallstones. Extracorporeal shock wave lithotripsy (ESWL) offers a noninvasive alternative for select patients, but has drawbacks like stone recurrence.

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Area of Science:

  • Gastroenterology and Hepatobiliary Surgery

Background:

  • Symptomatic cholecystolithiasis (gallstones) typically requires surgical intervention.
  • Laparoscopic cholecystectomy is the current gold standard surgical treatment.
  • Noninvasive options exist but are limited to specific patient groups.

Purpose of the Study:

  • To evaluate extracorporeal shock wave lithotripsy (ESWL) as a noninvasive treatment for gallstones.
  • To identify the suitability and limitations of ESWL in managing symptomatic cholecystolithiasis.

Main Methods:

  • Review of noninvasive treatment options for gallstones.
  • Focus on extracorporeal shock wave lithotripsy (ESWL) as a potential alternative.
  • Consideration of patient selection criteria for ESWL.

Main Results:

  • Surgery, specifically laparoscopic cholecystectomy, remains the primary treatment for symptomatic gallstones.
  • Extracorporeal shock wave lithotripsy (ESWL) is a viable noninvasive option for carefully selected patients.
  • Key challenges with ESWL include the need for prolonged gall salt administration and the risk of gallstone recurrence.

Conclusions:

  • While laparoscopic cholecystectomy is standard, ESWL presents a noninvasive alternative for select gallstone patients.
  • Careful patient selection is crucial for successful ESWL outcomes.
  • The prolonged use of gall salts and potential for stone recurrence are significant considerations for ESWL therapy.

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