Extracorporeal shock wave lithotripsy of gallstones: 20th anniversary of the first treatment

@article{Paumgartner2005ExtracorporealSW,
  title={Extracorporeal shock wave lithotripsy of gallstones: 20th anniversary of the first treatment},
  author={Gustav Paumgartner and Gerd H. Sauter},
  journal={European Journal of Gastroenterology \& Hepatology},
  year={2005},
  volume={17},
  pages={525-527}
}
Twenty years ago, extra-corporeal shockwave lithotripsy (ESWL) combined with oral bile acid dissolution therapy was introduced as a non-invasive and safe treatment for selected patients with symptomatic gallbladder stones.The success rate of ESWL, defined as a stone-free gallbladder, decreases with the number and size of the stones, impaired gallbladder motor function and the presence of calcifications.The risk of stone recurrence is the major drawback of ESWL of gallbladder stones.Today… 

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References

SHOWING 1-10 OF 23 REFERENCES

Fragmentation of gallstones by extracorporeal shock waves.

It is concluded that gallstone disease may be treated successfully and without serious adverse effects by extracorporeally generated shock waves in selected patients.

Extracorporeal shock wave lithotripsy for clearance of bile duct stones resistant to endoscopic extraction.

In patients with bile duct calculi that are difficult to extract endoscopically, high-energy extracorporeal shock-wave lithotripsy is a safe and effective therapy regardless of stone size, stone location, or the presence of bileduct strictures.

Biliary lithotripsy with a new electromagnetic shock wave source

The new lithotriptor Modulith enables safe and highly effective lithotripsy of gallbladder calculi on an outpatient basis and allows successful lithotRIpsy of bile duct stones.

Long-term results after successful extracorporeal gallstone lithotripsy: outcome of the first 120 stone-free patients.

The probability of gallbladder stone recurrence after successful extracorporeal shock wave lithotripsy (ESWL) remains high during a decade of follow-up and long-term results are unsatisfactory and ESWL should be offered only exceptionally.

Biliary Shock-Wave Lithotripsy: Experience of the First 3 Years in 612 Patients

After extensive pre-clinical studies particularly in experimental animals, clinical application of biliary ESWL was begun in 1985 and the results of treatment in the initial studies have since been reported.

Results of extracorporeal shock wave lithotripsy of gall bladder stones in 693 patients: a plea for restriction to solitary radiolucent stones.

A cost effectiveness analysis suggests that laparoscopic cholecystectomy is the most effective and economic solution, although extracorporeal shock wave lithotripsy for solitary radiolucent stones less than 2 cm is cheaper than conventional choleCystectomy.

The effect of ursodiol on the efficacy and safety of extracorporeal shock-wave lithotripsy of gallstones. The Dornier National Biliary Lithotripsy Study.

Treatment was more effective than lithotripsy alone for the treatment of symptomatic gallstones, and equally safe for solitary than multiple stones, radiolucent than slightly calcified stones, and smaller than larger stones.