Journal of radiological science and technology (대한방사선기술학회지:방사선기술과학)

Korean Society of Radiological Science (대한방사선과학회)
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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)
  • 김함겸 (안산전문대학 방사선과) ;
  • 손순룡 (아산재단 서울중앙병원 진단방사선과) ;
  • 이원홍 (아산재단 서울중앙병원 진단방사선과)
  • Published : 1998.06.30
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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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