Journal of radiological science and technology (대한방사선기술학회지:방사선기술과학)
- Volume 21 Issue 1
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- Pages.40-45
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- 1998
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- 2288-3509(pISSN)
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- 2384-1168(eISSN)
Fragmentation of Common Bile Duct and Pancreatic Duct Stones by Extracorporeal Shock-wave Lithotripsy
체외충격파쇄석술을 이용한 총담관 및 췌관 결석의 치료
- Kim, Ham-Gyum (Dept. of Radiologic Technology, Ansan Junior College) ;
- Son, Soon-Yong (Dept. of Diagnostic Radiology, Asan Medical Center) ;
- Lee, Won-Hong (Dept. of Diagnostic Radiology, Asan Medical Center)
- Published : 1998.06.30
Abstract
To determine its usefulness and safety of extracorporeal shock-wave lithotripsy in common bile duct and pancreatic duct stones, we analyzed the results of 13 patients with common bile duct stones and 6 patients with pancreatic duct stones which were removed by endoscopic procedures using the balloon or basket, who was performed the extracorporeal shock-wave lithotripsy using the ultrasonography for stone localization with a spark gap type Lithotriptor(Dernier MPL 9000, Germany). Fragmentation and complete clearance of the common bile duct and pancreatic duct stones were obtained in 19 of 19 patients(100%). Apart from transient attacks of fever in 2 of 13 patients with common bile duct stones(15%) and mild elevation of serum amylase and lipase in 2 of 6 patients with pancreatic duct stones(33%), no other serious side effects were observed. In our experiences, extracorporeal shock-wave lithotripsy is a safe and useful treatment for endoscopically unretrievable common bile duct and pancreatic duct stones.
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