A ten-year prospective study on gallbladder stone recurrence after successful extracorporeal shock-wave lithotripsy

Carrilho-Ribeiro, Luís; A, Pinto-Correia; Velosa, José; Moura, Miguel Carneiro de

doi:10.1080/00365520500483256

Cited by 16 publications

(5 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The rate of cure is only 27% after UDCA and only 55% after ESWL in carefully selected patients and the rate of recurrent gallstones was >40% after complete dissolution of stones or ESWL within a period of 4 years. Furthermore, approximately 30% of patients had symptoms within 3 months irrespective of whether UDCA was used and the annual rate of complications after UDCA was approximately 2%, which is similar to the annual rate of complications in those not taking UDCA [190,253,264,265,268,292]. Cholecystectomy prevents gallstone complications but may not be necessary if biliary colic symptoms have not occurred within the last 5 years or after just one episode of biliary colic (with an approximately 50% chance of another colic within 1 year) [221].…”

Section: Patients With Symptomatic Gallstonesmentioning

confidence: 75%

“…The majority of recurring stones are symptomatic, and a third of patients have to undergo cholecystectomy after an average of 3 years [267]. Over 3 months, only 26% of patients remained free of colic after treatment with UDCA compared with 33% after placebo, and about 2% of patients had gallstone complications after treatment with UDCA, which is similar to the annual rate of complications in those not taking the drug [253,264,265,[268][269][270][271][272].…”

Section: Should Gallbladder Stones Be Dissolved With Bile Acids Takenmentioning

confidence: 86%

“…Litholysis using bile acids alone or in combination with extracorporeal shock wave lithotripsy is not recommended for gallbladder stones (moderate quality evidence; strong recommendation) Comment: Although meta-analysis of studies on litholysis using UDCA [253] showed acceptable therapy success in patients with small non-calcified stones in a functioning gallbladder (63% of patients free from stones after >6 months), there is a lack of effectiveness in preventing symptoms and complications that subsequently occur as there is a high long-term recurrence rate (25-64% after 5 years and 49-80% after 10 years) [254][255][256][257][258][259][260][261][262][263][264][265]. Evidence from randomized controlled trials, systematic reviews and cohort studies show that extracorporeal shock wave lithotripsy (ESWL), similar to bile acid dissolution therapy with UDCA alone, has a low rate of cure, with only 55% of carefully selected patients remaining free of stones [266].…”

Section: Should Gallbladder Stones Be Dissolved With Bile Acids Takenmentioning

confidence: 99%

See 2 more Smart Citations

EASL Clinical Practice Guidelines on the prevention, diagnosis and treatment of gallstones

2016

Journal of Hepatology

453

165

View full text Add to dashboard Cite

Section: Patients With Symptomatic Gallstonesmentioning

confidence: 75%

Section: Should Gallbladder Stones Be Dissolved With Bile Acids Takenmentioning

confidence: 86%

Section: Should Gallbladder Stones Be Dissolved With Bile Acids Takenmentioning

confidence: 99%

See 1 more Smart Citation

EASL Clinical Practice Guidelines on the prevention, diagnosis and treatment of gallstones

2016

Journal of Hepatology

453

165

View full text Add to dashboard Cite

“…Recurrence following ESWL is a problem as the 10-year recurrence rate has been estimated to be 54-60% [90,91], and patients with reduced gallbladder function are likelier to experience recurrence [92]. UDCA has also been reported to be effective for preventing recurrence [86,87].…”

Section: Commentarymentioning

confidence: 99%

Evidence-based clinical practice guidelines for cholelithiasis 2016

Tazuma

Unno²,

Igarashi³

et al. 2016

J Gastroenterol

214

178

View full text Add to dashboard Cite

Cholelithiasis is one of the commonest diseases in gastroenterology. Remarkable improvements in therapeutic modalities for cholelithiasis and its complications are evident. The Japanese Society of Gastroenterology has revised the evidence-based clinical practice guidelines for cholelithiasis. Forty-three clinical questions, for four categories-epidemiology and pathogenesis, diagnosis, treatments, and prognosis and complications-were selected, and a literature search was performed for the clinical questions with use of the MEDLINE, Cochrane, and Igaku Chuo Zasshi databases for the period between 1983 and June 2012. The guidelines were developed with use of the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system. This article preferentially describes the clinical management of cholelithiasis and its complications. Following description of the diagnosis performed stepwise through imaging modalities, treatments of cholecystolithiasis, choledocholithiasis, and hepatolithiasis are introduced along with a flowchart. Since there have been remarkable improvements in endoscopic treatments and surgical techniques, the guidelines ensure flexibility in choices according to the actual clinical environment. The revised clinical practice guidelines are appropriate for use by clinicians in their daily practice.

show abstract

“… 31 ESWL has been used for fragmentation of gallbladder stones, but due to high stone recurrence rates and the minimal morbidity of laparoscopic cholecystectomy, this method is rarely used. 77 …”

Section: Efficacy and Comparative Studiesmentioning

confidence: 99%

Biliary and pancreatic lithotripsy devices

Watson¹,

Parsi²,

Aslanian³

et al. 2018

VideoGIE

View full text Add to dashboard Cite

Background and AimsLithotripsy is a procedure for fragmentation or destruction of stones to facilitate their removal or passage from the biliary or pancreatic ducts. Although most stones may be removed endoscopically using conventional techniques such as endoscopic sphincterotomy in combination with balloon or basket extraction, lithotripsy may be required for clearance of large, impacted, or irregularly shaped stones. Several modalities have been described, including intracorporeal techniques such as mechanical lithotripsy (ML), electrohydraulic lithotripsy (EHL), and laser lithotripsy, as well as extracorporeal shock-wave lithotripsy (ESWL).MethodsIn this document, we review devices and methods for biliary and pancreatic lithotripsy and the evidence regarding efficacy, safety, and financial considerations.ResultsAlthough many difficult stones can be safely removed using ML, endoscopic papillary balloon dilation (EPBD) has emerged as an alternative that may lessen the need for ML and also reduce the rate of adverse events. EHL and laser lithotripsy are effective at ductal clearance when conventional techniques are unsuccessful, although they usually require direct visualization of the stone by the use of cholangiopancreatoscopy and are often limited to referral centers. ESWL is effective but often requires coordination with urologists and the placement of stents or drains with subsequent procedures for extracting stone fragments and, thus, may be associated with increased costs.ConclusionsSeveral lithotripsy techniques have been described that vary with respect to ease of use, generalizability, and cost. Overall, lithotripsy is a safe and effective treatment for difficult biliary and pancreatic duct stones.

show abstract

A ten-year prospective study on gallbladder stone recurrence after successful extracorporeal shock-wave lithotripsy

Cited by 16 publications

References 22 publications

EASL Clinical Practice Guidelines on the prevention, diagnosis and treatment of gallstones

EASL Clinical Practice Guidelines on the prevention, diagnosis and treatment of gallstones

Evidence-based clinical practice guidelines for cholelithiasis 2016

Biliary and pancreatic lithotripsy devices

Contact Info

Product

Resources

About