Glucagon and ureteric colic

Nepper-Rasmussen, Jørgen; Pedersen, O. S.; Andersen, A; Dalsgaard, Jesper

doi:10.1007/bf00256305

Cited by 9 publications

(5 citation statements)

References 10 publications

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“…Three controlled trials have shown no clinical benefit, while two small uncontrolled studies had conflicting results. [40][41][42][43][44] Anti-muscarinic agents such as hyoscine butylbromide and atropine have been used with the aim of reducing ureteric smooth muscle spasm; however, there is little scientific evidence to support this practice. In vitro, no ureteric smooth muscle contraction has been demonstrated following application of a muscarinic agonist.…”

Section: Analgesiamentioning

confidence: 99%

Renal colic: A diagnostic and therapeutic review

Hardcastle¹

1999

Emergency Medicine

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Renal colic is a common presenting problem in emergency departments where the focus of treatment is on prompt analgesia, limited supportive investigations and exclusion of other serious disorders. This review gives an overview of the pathophysiology of this condition and those aspects of its care that are specific to the emergency department. The role of narcotics and non‐steroidal anti‐inflammatory drugs in treatment is examined, and the available imaging techniques are described and evaluated. Alternative diagnoses and indications for hospital admission are discussed.

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Section: Analgesiamentioning

confidence: 99%

Renal colic: A diagnostic and therapeutic review

Hardcastle¹

1999

Emergency Medicine

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“…Glucagon relaxes the ureter and causes mild diuresis [21], but has the same results as placebo in pain relief and facilitating stone passage [22].…”

Section: Medical Treatment Of Reno-ureteral Colicmentioning

confidence: 99%

Pathophysiology of Reno-Ureteral Colic

et al. 2004

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Introduction: Reno-ureteral colic presents with a complex of acute symptoms that usually indicate the presence of a stone in the collecting system, The aim of any treatment is pain relief, stone removal and preservation of kidney function. We focused our review on the pathophysiological aspects of reno-ureteral colic and, briefly, on its treatment. Materials and Methods: A complete overview of contemporary literature regarding renoureteral colic was performed by using MEDLINE and website on-line publications like EAU Guidelines. Results: Clinical presentation of renoureteral colic, of mechanisms of ureteral peristalsis and pathophysiology of renal colic is described. An overview of the available medical treatments is presented. Conclusions: An accurate comprehension of the pathophysiology of reno-ureteral colic allows the physician to tailor the best treatment for each patient.

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“…Glucagon has been used in ureteric colic. Glucagon is not useful as an analgesic nor as an aid to stone passage 35–37 . It is possible that it may be useful in post operative patients receiving extracorporeal shock wave lithotripsy, but this is unlikely to affect the practice of emergency physicians.…”

Section: Clinical Usesmentioning

confidence: 99%