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Titolo:
GALLSTONE LITHOTRIPSY
Autore:
NAHRWOLD DL;
Indirizzi:
NORTHWESTERN UNIV,SCH MED,DEPT SURG,250 E SUPER ST,SUITE 201 CHICAGO IL 60611
Titolo Testata:
The American journal of surgery
fascicolo: 4, volume: 165, anno: 1993,
pagine: 431 - 434
SICI:
0002-9610(1993)165:4<431:GL>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
SHOCK-WAVE LITHOTRIPSY; 12-MONTH FOLLOW-UP; PIEZOELECTRIC LITHOTRIPSY; GALLBLADDER STONES; EXPERIENCE; FRAGMENTATION; MULTICENTER; SELECTION; URSODIOL;
Tipo documento:
Article
Natura:
Periodico
Citazioni:
29
Recensione:
Indirizzi per estratti:
Citazione:
D.L. Nahrwold, "GALLSTONE LITHOTRIPSY", The American journal of surgery, 165(4), 1993, pp. 431-434

Abstract

Extracorporeal shock-wave lithotripsy (ESWL) has been applied to patients with gallstones since the mid-1980s. Lithotriptors differ by their means of shock-wave generation, the mechanisms by which they are coupled to the patient, and their imaging system. Entry in most treatmentprotocols is limited to symptomatic patients with one to three radiolucent stones having a diameter of 30 mm or less and a functioning gallbladder according to oral cholecystography. Treatments are given on anoutpatient basis using intravenous analgesia and include adjuvant bile acid therapy. Deaths have not been reported, and the incidence of serious complications, related to the presence of fragments in the biliary system, is low. The studies show that ESWL is a safe and effective treatment for patients with a single gallstone less than or equal to 20 nun in diameter, but the efficacy for larger single stones and multiple stones is poor. To date, the Food and Drug Administration has not approved lithotriptors for the treatment of gallstones in the United States.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/12/20 alle ore 11:02:15