1987
DOI: 10.1148/radiology.165.2.3116600
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Choledocholithiasis: treatment with extracorporeal shock wave lithotripsy.

Abstract: In a patient with choledocholithiasis, a duodenal diverticulum precluded endoscopic retrograde bile duct cannulation. A transhepatic catheter was used to opacify the bile ducts and to guide the endoscopic sphincterotome into the major duodenal papilla. Because limited sphincterotomy did not allow extraction or spontaneous passage of the common duct stones, extracorporeal lithotripsy was performed. Following fragmentation, the stones passed spontaneously and without complications.

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Cited by 16 publications
(3 citation statements)
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“…16 Therefore, it is necessary to perform drainage procedures such as PTCD beforehand. 17 Because 4% to 7% of patients with hepatolithiasis have intrahepatic bile duct carcinoma, it is necessary when performing PTCS or ESWL to perform a bile duct biopsy to ascertain the hardness and color of the bile duct wall and determine whether dilatation or constriction of the bile duct has resulted from inflammation or cancer. 18 These findings suggest that cholangiojejunostomy or T-tube drainage is sufficient for the treatment of stacked intrahepatic stones secondary to choledocholiths when unaccompanied by hepatic atrophy or intrahepatic bile duct constriction.…”
mentioning
confidence: 99%
“…16 Therefore, it is necessary to perform drainage procedures such as PTCD beforehand. 17 Because 4% to 7% of patients with hepatolithiasis have intrahepatic bile duct carcinoma, it is necessary when performing PTCS or ESWL to perform a bile duct biopsy to ascertain the hardness and color of the bile duct wall and determine whether dilatation or constriction of the bile duct has resulted from inflammation or cancer. 18 These findings suggest that cholangiojejunostomy or T-tube drainage is sufficient for the treatment of stacked intrahepatic stones secondary to choledocholiths when unaccompanied by hepatic atrophy or intrahepatic bile duct constriction.…”
mentioning
confidence: 99%
“…Shock wave lithotripsy Dr. H. Joachim Burhenne, shown in Figure 2, was a Harvard-trained radiologist from Germany and first physician to use extracorporeal SWL in Canada at the University of British Columbia (UBC) in the mid-1980's. 6 By comparison, Prof. Dr. Christian Chaussy and his clinical research team pioneered SWL and on February 7, 1980 Chaussy performed the world's first SWL procedure on a patient at the University of Munich. 7 Burhenne used SWL for the treatment of biliary stones and, by 1986, UBC and Dalhousie University were using it for the management of biliary and urinary tract stones.…”
Section: Beiko Et Al History Of Endourology In Canadamentioning
confidence: 99%
“…Σε 12 σει,ρές [107][108][109][110][111][112][113][114][115][116][117][118] αναφέρονχαι-συνολικά 374 ασθενείς που χρησι.μοποι.ήθηκε ESWL λόγω χοληδοχολι,θίασης. Σχεδόν σε όλους είχε προηγηθεί E.S.…”
Section: 31unclassified