Treatment for Gallstones

Extracorporeal shock wave lithotripsy (ESWL) for difficult bile duct stones: A 15-year single centre experience

Rosangela Muratori, Francesco Azzaroli, Federica Buonfiglioli, Flavio Alessandrelli, Paolo Cecinato, Giuseppe Mazzella, and Enrico Roda Author information ? Article notes ? Copyright and License information ? Disclaimer Abstract AIM: To evaluate the efficacy of extracorporeal shock wave lithotripsy (ESWL) for the management of refractory bile duct cholelithiasis in a third level referral centre. METHODS: The clinical records of all patients treated with a second generation electromagnetic lithotripter […]

Percutaneous cholecystostomy.

Eur J Radiol. 2002 Sep;43(3):229-36. Akhan O1, Akinci D, Ozmen MN. Author information Abstract Percutaneous cholecystostomy (PC), a technique that consists of percutaneous catheter placement in the gallbladder lumen under imaging guidance, has become an alternative to surgical cholecystostomy in recent years. Indications of PC include calculous or acalculous cholecystitis, cholangitis, biliary obstruction and opacification of biliary ducts. […]

Contact dissolution of cholesterol gallstones with organic solvents.

Gastroenterol Clin North Am. 1991 Mar;20(1):183-99. Hofmann AF1, Schteingart CD, vanSonnenberg E, Esch O, Zakko SF. Author information   Abstract Contact dissolution of cholesterol gallstones with organic solvents is emerging as a rapid, safe, alternative treatment for symptomatic cholesterol gallbladder stones. Placement of a percutaneous transhepatic catheter into the gallbladder is a rapid and safe technique. The availability of safe, […]

Efficacy and Indications of Ursodeoxycholic Acid Treatment for Dissolving Gallstones A Multicenter Double-Blind Trial

Efficacy and Indications of Ursodeoxycholic Acid Treatment for Dissolving Gallstones A Multicenter Double-Blind Trial TOKYO COOPERATIVE GALLSTONE STUDY GROUP The cholelitholytic action of ursodeoxycholic acid (LJDCA) was investigated by a double-blind clinical trial. The trial started with 153 subjects all confirmed by radiographic examination as having radiolucent gallstones in a functioning gallbladder. The subjects were […]

Ursodeoxycholic acid: a safe and effective agent for dissolving cholesterol gallstones.

Ann Intern Med. 1982 Sep;97(3):351-6. Tint GS, Salen G, Colalillo A, Graber D, Verga D, Speck J, Shefer S. Abstract Ursodeoxycholic acid, 250 to 300, 500 to 600, or 900 to 1000 mg/d, was given orally for 6 to 38 months to 53 patients with cholesterol gallstones and functioning gallbladders. Forty-two patients had greater than 50% reduction in gallstone volume, number, or […]

Gallbladder stones–dissolve, blast, or extract? Laparoscopic cholecystectomy versus ‘the rest’.

Scand J Gastroenterol Suppl. 1992;192:67-76. Dowling RH1. Abstract This article reviews selected aspects of the non-surgical/minimally invasive treatments of gallbladder stones (GBS) and discusses briefly the residual role of these treatments in the era of laparoscopic cholecystectomy. In patients with specific, gallstone-related symptoms who wish to retain their ‘functioning’ gallbladders, there are at least six different […]

The pros and cons of laparoscopic cholecystectomy and extracorporeal shock wave lithotripsy in the management of gallstone disease

i, J. G. Geraghty, N. N. Williams, S. S. Sheehan, A. N. Tanner, and F. B. Keane Author information ? Copyright and License information ? See letter “Costs and cost-effectiveness.” on page 213. This article has been cited by other articles in PMC. Abstract The recent introduction of laparoscopic cholecystectomy (LAPC) has revolutionised the surgical treatment of gallstone disease. However, it has also raised doubts about the […]

Ursodeoxycholic acid therapy in gallbladder disease, a story not yet completed

Michele Pier Luca Guarino, Silvia Cocca, Annamaria Altomare, Sara Emerenziani, and Michele Cicala Abstract Gallstone disease represents an important issue in the healthcare system. The principal non-invasive non-surgical medical treatment for cholesterol gallstones is still represented by oral litholysis with bile acids. The first successful and documented dissolution of cholesterol gallstones was achieved in 1972. Since then a large […]

Alternative surgery treatment options never disclosed AND why

Treatment options :Sleisenger & Fordtran’s Gastrointestinal and Liver Disease:Pathophysiology/Diagnosis/Management actuality states the following  During the 1990s, there was a 29% increase in the number of cholecystectomies performed,with over a 100% increase in cholecystectomy for acute acalculous cholecystitis and 300% increase for biliary dyskinesia. Although nonsurgical methods of gallstone removal, including pharmacologic dissolution, shock wave lithotripsy, and endoscopic laser ablation, were once […]