Extracorporealshock-wave lfthotripsy (ESWL) was performed in 16 patients wIth bile duct stones. Domier HM3 water-bath equipment (Domier Medical Systems, Marietta, GA) was used in all procedures.
All patientshad either a T-tube or a nasobiliary, cholecystostomy, or transhepatic biliary drainage tube in place at the time of the lithotripsy.In 12 patients, the indication for ESWL was the failure of or anticipated difficulty with basket extraction of the stones, either via a T-tube tract or by means of endoscopic sphincterotomy. In the other four patients, ESWL was performed ESWL is a successful method for the management of patients with bile duct stones when used in conjunction with other nonsurgical techniques.It was also the only treatment required in 56% of our patients.
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