Journal article

Extracorporeal shock-wave lithotripsy and the management of common bile-duct calculi.

AG Speer, DR Webb, NA Collier, JG McHutchinson, DJ St John, GJ Clunie

Med J Aust | Published : 1988

Abstract

Endoscopic sphincterotomy is the treatment of first choice for stones that remain in the bile duct after cholecystectomy. There is a small group of patients in whom this technique is not successful; many of these patients carry a high risk for surgery because of their age or associated medical conditions. A variety of non-surgical techniques is available; however, none is well established. We have used an in-vitro model to show that human gallstones are fragmented readily by shock-wave lithotripsy. Two elderly frail patients with difficult bile-duct stones have been treated successfully by extracorporeal shock-wave lithotripsy. The bile ducts were cleared of stones and the patients suffered ..

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