Extracorporeal Shock-Wave Lithotripsy of Gallstones Without General Anesthesia: First Clinical Experience
Authors: Michael Sackmann, Werner Weber, Michael Delius, Joseph Holl, Ulrich Hagelauer, Tilman Sauerbruch, Walter Brendel, Gustav Paumgartner
Journal: Annals of Internal Medicine (1987)

Brief Reports1 September 1987Extracorporeal Shock-Wave Lithotripsy of Gallstones Without General Anesthesia: First Clinical ExperienceMICHAEL SACKMANN, M.D., WERNER WEBER, M.D., MICHAEL DELIUS, M.D., JOSEPH HOLL, M.D., ULRICH HAGELAUER, Ph.D., TILMAN SAUERBRUCH, M.D., WALTER BRENDEL, M.D., GUSTAV PAUMGARTNER, M.D.MICHAEL SACKMANN, M.D.Search for more papers by this author, WERNER WEBER, M.D.Search for more papers by this author, MICHAEL DELIUS, M.D.Search for more papers by this author, JOSEPH HOLL, M.D.Search for more papers by this author, ULRICH HAGELAUER, Ph.D.Search for more papers by this author, TILMAN SAUERBRUCH, M.D.Search for more papers by this author, WALTER BRENDEL, M.D.Search for more papers by this author, GUSTAV PAUMGARTNER, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-107-2-347 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptExtracorporeal shock-wave lithotripsy has recently been introduced as a nonsurgical method to disintegrate gallstones (1). So far, general anesthesia has been used in patients for alleviating pain and controlling respiration to allow optimal focusing of the stones (1-3). In lithotripsy of kidney stones, intravenous opiate analogues can be used instead of general anesthesia (4). This report describes the fragmentation of gallbladder calculi in ten patients given intravenous opiate analgesics.The patients' clinical data are presented in Table 1. Entry criteria, adjuvant medical dissolution therapy, and shock-wave generation and application have been described elsewhere (1, 5-7). Two independent investigators...References1. SAUERBRUCHDELIUSPAUMGARTNER TMG. Fragmentation of gallstones by extracorporeal shock waves. N Engl J Med. 1986;314:818-22. CrossrefMedlineGoogle Scholar2. ALPENWEBERPOLLWEINSAUERBRUCHDELIUSWESS EWBTMO. Anesthetic management for cholelithotripsy: early clinical experiences. In: Proceedings of the First International Symposium on Anesthesia and ESWL, Munich 1986. New York: Springer-Verlag; 1987. (In press). Google Scholar3. WEBERALPENGRAVENSTEINBANNERHÜGLERPETER WENMPK. Enflurane administration during HFJV in gallstone lithotripsy: first clinical trial results. In: Proceedings of the First International Symposium on Anesthesia and ESWL, Munich 1986. New York: Springer-Verlag; 1987. (In press). Google Scholar4. DAUB D. Opioidanalgesie: eine Alternative zur Allgemeinanästhesie. Anästhesist. 1985;34:489-93. MedlineGoogle Scholar5. BRENDELENDERS WG. Shock waves for gallstones: animal studies [Letter]. Lancet. 1983;1:1054. CrossrefMedlineGoogle Scholar6. PAUMGARTNERDELIUSSAUERBRUCH GMT. Fragmentation of gallbladder stones by ESWL in humans. In: Proceedings of the First International Symposium on Anesthesia and ESWL, Munich 1986. New York: Springer-Verlag; 1987. (In press). Google Scholar7. SAUERBRUCHHOLLDELIUSSACKMANNBRENDELPAUMGARTNER TJMMWG. Extracorporeal shock-wave treatment of gallstones. In: PAUMGARTNER G, STIEHL A, GEROK W, eds. Bile Acids and the Liver: With an Update on Gallstone Disease. Lancaster, England: MTP Press; 1987. (In press). Google Scholar8. OWENSFELTSSPITZNAGEL WJE. ASA physical status classifications: a study of consistency of ratings. Anesthesiology. 1978;49:239-43. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byReview on Lithotripsy and Cavitation in Urinary Stone TherapyAcute Relapsing PancreatitisBiliary physiology and disease: Reflections of a physician-scientistApproach to idiopathic recurrent pancreatitisBiliary SludgeCynthia W. Ko, MD, John H. Sekijima, MD, and Sum P. 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Friedman, MD, Mark S. Roberts, MD, MPP, Allan S. Brett, MD, Keith I. Marton, MDSouthwestern Internal Medicine Conference: Cholesterol Gallstone Disease: The Current Status of Nonsurgical TherapyShock-Wave Lithotripsy of Gallbladder StonesExtracorporeal Shock Wave Lithotripsy in the Treatment of Large Common Bile Duct StonesExtracorporeal Shock Wave CholelithotripsyLithotripsyBiliary stones: treatment by shock-wave lithotripsyGallstone treatment by extracorporeal shock-wave lithotripsy 1 September 1987Volume 107, Issue 3Page: 347-348KeywordsAnalgesicsGallbladderGeneral anesthesiaKidney stonesOpiatesRespiration Issue Published: 1 September 1987 PDF downloadLoading ...