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Related Experiment Videos

Gallstone recurrence after shock wave therapy

G Avci1, S Bora, I Erdamar

  • 1Department of General Surgery, School of Medicine, Dokuz Eylül University, Inciralti-Izmir.

Surgery, Gynecology & Obstetrics
|December 1, 1993
PubMed
Summary

Gallstone recurrence after extracorporeal shock wave lithotripsy (ESWL) and oral therapy affects 15.2% within one year. Factors like multiple initial stones and age over 60 increase recurrence risk.

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Area of Science:

  • Gastroenterology
  • Urology
  • Nephrology

Background:

  • Gallstones are common, and treatment aims for complete clearance.
  • Recurrence after treatment poses a clinical challenge.

Purpose of the Study:

  • To evaluate the rate and risk factors for gallstone recurrence after combined extracorporeal shock wave lithotripsy (ESWL) and oral litholytic therapy.

Main Methods:

  • Study included 53 patients with complete gallstone clearance post-ESWL and oral therapy.
  • Follow-up evaluations assessed gallstone recurrence within the first year.

Main Results:

  • 15.2% of patients (8 out of 53) experienced gallstone recurrence within one year.
  • Recurrence was significantly higher in patients with multiple pre-ESWL stones (p < 0.05).

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  • Age over 60 was also associated with increased recurrence rates (p < 0.05).

    • Conclusions:

    • Gallstone recurrence is a notable outcome following ESWL and oral litholytic therapy.
    • Identifying patients with multiple stones or advanced age can help predict recurrence risk.