Management of Remaining Common Duct Stones by Various Solvents and Biliary Flush Regimen

Best, R. Russell

doi:10.1001/archsurg.1953.01260040852006

Cited by 21 publications

(1 citation statement)

References 19 publications

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“…Duodenal ulceration, haemorrhage and anaesthesia have all been reported after instillations of chloroform. Chloroform, warmed to 60 "C, was used successfully in patients by Best and co-workers as part of a regimen of oral choleretics and T tube instillations (17,18 prolonged administration of bile salts (19). His success largely went unnoticed and it is only recently that interest has been renewed in oral bile acid therapy with chenodeoxycholic acid (20,21).…”

Section: Ch Ioro Formmentioning

confidence: 99%

Dissolution of common bile duct stones

Motson

1981

Journal of British Surgery

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Retained common duct stones can now be treated by a number of non-operative techniques, including dissolution by cholesterol solvents, simple irrigation, stone extraction via the T tube tract and by endoscopic sphincterotomy. This paper reviews the various solvents available for stone dissolution and its physicochemical basis. When a retained stone is found simple irrigation with saline will be successful in about 50 per cent of patients. If this fails, stone extraction via the T tube tract or by endoscopic sphincterotomy are now the methods of choice, with a 90--95 per cent chance of success. Stone dissolution by cholic acid is slow and is only successful in about 60 per cent of patients but can be of value when stone extraction is unavailable or unsuccessful.

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Section: Ch Ioro Formmentioning

confidence: 99%