Titre
Lithotritie vésiculaire par ondes de choc extracorporelles: importance des critères de sélection [Extracorporeal shockwave lithotripsy of the gallbladder: importance of selection criteria].
Type
article
Institution
Externe
Périodique
Auteur(s)
Thorens, J.
Auteure/Auteur
Schnegg, J.F.
Auteure/Auteur
Fasel, J.
Auteure/Auteur
Deslarzes, C.
Auteure/Auteur
Duvoisin, B.
Auteure/Auteur
Schnyder, P.
Auteure/Auteur
Gonvers, J.J.
Auteure/Auteur
Blum, A.L.
Auteure/Auteur
Liens vers les personnes
ISSN
0036-7672
Statut éditorial
Publié
Date de publication
1993
Volume
123
Numéro
14
Première page
642
Dernière page/numéro d’article
648
Peer-reviewed
Oui
Langue
français
Notes
Publication types: Comparative Study ; English Abstract ; Journal Article
Publication Status: ppublish
Publication Status: ppublish
Résumé
In recent years, a number of alternatives to surgery for gallstones have been developed. Among them, extracorporeal shock-wave lithotripsy (ESWL) was promising, being non-invasive and risk-free. Nevertheless, its results vary according to the size, number and composition of the stones and according to the bile acids treatment used for fragment dissolution. To better evaluate the importance of these factors, we have widened the selection criteria currently used (1 to 3 non-calcified stones with a diameter below 30 mm) by including patients with large stones (up to 40 mm in diameter), multiple stones (up to 10 stones) and calcified stones. We also compared, for efficacy of fragment dissolution after ESWL, treatment by ursodeoxycholic acid alone as opposed to a mixture with chenodeoxycholic acid. Our results were (1) significant lessening of the fragmentation rate and of the number of gallbladders free of stones 1 year after ESWL when selection criteria are widened; (2) a mixture of ursodeoxycholic and chenodeoxycholic acids may favour fragment dissolution after ESWL compared to treatment by ursodeoxycholic acid alone.
PID Serval
serval:BIB_51E995607348
PMID
Date de création
2008-04-11T10:40:42.852Z
Date de création dans IRIS
2025-05-20T15:37:23Z