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[Extracorporeal shock wave lithotripsy]

M Sugiyama1, T Muto, Y Atomi

  • 1Faculty of Medicine, First Department of Surgery, Tokyo University.

Nihon Rinsho. Japanese Journal of Clinical Medicine
|July 1, 1993
PubMed
Summary
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Extracorporeal shock wave lithotripsy (ESWL) effectively treated gallbladder stones in select patients. This safe procedure led to complete stone disappearance within a year for many individuals with specific stone characteristics.

Area of Science:

  • Gastroenterology
  • Medical Technology

Context:

  • Gallbladder stones (cholelithiasis) affect a significant portion of the population.
  • Current treatment options for gallstones include surgery and medical management.
  • Extracorporeal shock wave lithotripsy (ESWL) offers a non-invasive alternative for specific cases.

Purpose:

  • To evaluate the efficacy and safety of Extracorporeal shock wave lithotripsy (ESWL) for treating gallbladder stones.
  • To determine the success rates of ESWL based on stone characteristics and patient selection.

Summary:

  • Extracorporeal shock wave lithotripsy (ESWL) was performed on 84 patients with gallbladder stones.
  • Complete gallstone disappearance was observed within 12 months in 31% of patients with 1-3 radiolucent stones (≤3 cm) and 57% with a solitary stone (≤2 cm, ultrasonographic pattern Ia or Ib).

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  • No major complications were reported, indicating a favorable safety profile.
  • Impact:

    • ESWL is a safe and effective treatment for selected patients with solitary, radiolucent gallbladder stones (≤2 cm, pattern Ia or Ib).
    • This non-invasive approach can be a viable option, potentially reducing the need for more invasive procedures.
    • Further research can explore optimizing patient selection criteria for ESWL.