Fragmentation of Gallstones by Extracorporeal Shock Waves

Sauerbruch, T.; Delius, Michael; Paumgartner, Gustav; Holl, Joseph; Wess, Othmar; Weber, W.; Hepp, W.; Brendel, W.

doi:10.1097/00132586-198702000-00017

Cited by 37 publications

(38 citation statements)

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“…Although the stones were situated at the level of the pancreas, serum amylase levels remained within normal limits throughout the procedure. Transient hematuria, as seen in our patient, was due to passage of the shockwaves through the right kidney and was also reported after ESWL in two of five cases with common duct stones [2]. Hematuria is a common finding after renal lithotripsy and is of little clinical significance.…”

Section: Low Insertion Of the Cystic Duct Is Not Uncommon And Itsupporting

confidence: 76%

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Treatment of retained cystic duct stones using extracorporeal shockwave lithotripsy

Becker¹,

Fache²,

Gibney³

et al. 1987

American Journal of Roentgenology

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Section: Low Insertion Of the Cystic Duct Is Not Uncommon And Itsupporting

confidence: 76%

“…has been used increasingly for kidney stones since 1 980, has also been used for the treatment of gallstones. The first reported series included nine patients with gallbladder stones and five patients with common duct stones [2]. The gailbiadder stones were located by sonography, and the common duct stones were located by endoscopic retrograde cholangiography.…”

mentioning

confidence: 99%

Treatment of retained cystic duct stones using extracorporeal shockwave lithotripsy

Becker¹,

Fache²,

Gibney³

et al. 1987

American Journal of Roentgenology

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“…Several other applications of HESW have been reported, such as disintegration of salivary gland stones and gall blad der stones, treatment of fractures and tumor treatment (Cornel et al 1994a;Iro et al 1989;Sackman 1988;Sauerbruch et al 1986;Valchanou and Miehailov 1991 ). in particular, since HESW can be focused into a small area of interest within the body, the efficacy of HESW as a new experimental noninvasive antitumor therapy has been extensively investigated.…”

Section: Introductionmentioning

confidence: 99%

The influence of high-energy shock waves on the development of metastases

Oosterhof¹,

Cornel²,

Smits³

et al. 1996

Ultrasound in Medicine & Biology

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Abstract-The hypothesis that exposure of a solid tumor to high-energy shock waves (HESW) could lead to an increase of metastases was investigated in an animal model. The highly metastatic AT-6 Dunning R3327 rat prostate cancer subline was implanted in the hind limb of a Fisher-Copenhagen rat and was exposed to 6000 shock waves delivered by an experimental lithotripter, or sham-treated, as soon as the tumor had reached a volume of 175-225 mm3. The tumor-bearing leg was amputated 24 h later and the number of metastases was examined 12 weeks thereafter at autopsy. Metastases were seen in 82% of the animals exposed to HESW and in 25% of the sham-treated animals. There was no significant difference in weight of the lungs that contained metastases, between sham and treated animals. These results were confirmed in a second experiment. We conclude that the metastatic spread of tumors with a high metastatic potential may be enhanced by shock-wave exposure.

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“…Intraductal EHL is cumbersome and requires specialized and expensive equipment [20]. ESWL, which works by concentrating focused short waves on stones and causing their disruption, was first used in the field of gastroenterology by Sauerbruch et al in Germany for fragmentation of gall bladder stones [21]. Thereafter the same authors used it for fragmentation of pancreatic duct stones [22].…”

mentioning

confidence: 99%