Long-Term Follow-Up After Treatment of Common Bile Duct Stones by Extracorporeal Shock-Wave Lithotripsy

Meyenberger, Christa; Meierhofer, U; Michel-Harder, C; Knuchel, Jürg; Hp, Wirth; Bühler, H; Münch, R; Altorfer, J

doi:10.1055/s-2007-1005502

Cited by 32 publications

(12 citation statements)

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“…CBD stone fragmentation rates of 71% to 95% have been reported with ESWL, 121,125,[130][131][132] leading to final ductal clearance rates of 70% to 90%. 121,125,[130][131][132][133][134][135] Most commonly, between 1 and 3 sessions are needed for effective fragmentation, and usually ERC is undertaken within a few days after ESWL to sweep fragments from the duct.…”

Section: Large Bile Duct Stonesmentioning

confidence: 99%

“…121,125,[130][131][132][133][134][135] Most commonly, between 1 and 3 sessions are needed for effective fragmentation, and usually ERC is undertaken within a few days after ESWL to sweep fragments from the duct. Complications have been reported in 10% to 35% of patients undergoing ESWL for choledocholithiasis, including cholangitis, hemobilia, hematuria, and transient arrhythmias.…”

Section: Large Bile Duct Stonesmentioning

confidence: 99%

“…Complications have been reported in 10% to 35% of patients undergoing ESWL for choledocholithiasis, including cholangitis, hemobilia, hematuria, and transient arrhythmias. 121,125,[129][130][131][132] Three randomized, controlled trials evaluated ESWL compared with EHL 121 or LL. 125,132 In the latter 2 of these trials, LL was associated with a significantly higher rate of ductal clearance than ESWL (83%-97% vs 53%-73%), although no difference in duct clearance rates was seen in the trial comparing EHL and ESWL (74% vs 79%).…”

Section: Large Bile Duct Stonesmentioning

confidence: 99%

See 2 more Smart Citations

The role of endoscopy in the management of choledocholithiasis

Maple¹,

Fisher²,

Fukami³

et al. 2011

Gastrointestinal Endoscopy

182

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Section: Large Bile Duct Stonesmentioning

confidence: 99%

Section: Large Bile Duct Stonesmentioning

confidence: 99%

Section: Large Bile Duct Stonesmentioning

confidence: 99%

See 1 more Smart Citation

The role of endoscopy in the management of choledocholithiasis

Maple¹,

Fisher²,

Fukami³

et al. 2011

Gastrointestinal Endoscopy

182

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“…Associated morbidity includes fever, petechiae, mild arrhythmias (37%) and microhematuria (95%). Complete stone clearance is achieved in 83% of patients and requires 1–2 sessions [6]. Endoscopic lithotripsy is still investigational.…”

Section: Discussionmentioning

confidence: 99%

Management of T Tubes for Common Bile Duct Stones: A New Technique

Stein

Sclafani²,

Kral³

1998

Dig Surg

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Background: The optimal treatment of common bile duct (CBD) stones is controversial, and depends on local expertise, the patient’s medical condition and the time of diagnosis. Current practice entails a wide variation in the duration of leaving T tubes in place, anywhere from 7 to 30 days, and in the time to postoperative cholangiogram. Here we present a new technique for T-tube placement and management of secondary or retained CBD calculi that reduces T-tube duration to ≤ 5 days. Materials and Methods: After CBD exploration and clearance, we place a 10- to 18-French T tube through a 22- to 34-French straight rubber catheter with side holes acting as a sheath. The two tubes are exteriorized together, with the sheath protruding 1–2 cm. We place a colostomy bag for collecting possible abdominal drainage over the site and run the T tube through the colostomy bag into a bile bag. Results: Our method allows early removal of the T tube in patients with cleared ducts and early radiologic instrumentation of the CBD through the sheath to extract retained calculi. This obviates the need for postoperative endoscopic retrograde cholangiopancreaticography. Conclusion: This method reduces the length of hospital stay, the number of outpatient office visits and postoperative studies, and the duration of T-tube drainage, potentially decreasing the incidence of complications of T tubes, improving patient satisfaction.

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“…13 To date, almost all published studies comparing different models of lithotripters have focused on the clearance rates of urologic stones, and studies comparing the efficacy of different lithotripters in the management of biliary stones are lacking. [14][15][16][17][18][19][20][21][22][23][24] The aim of our study was to compare the CBD clearance rates achieved after ESWL performed with 2 different models of electromagnetic lithotripters in a large cohort of patients with difficult CBD stones.…”

mentioning

confidence: 99%