Successful Outpatient Treatment of Gallstones with Piezoelectric Lithotripsy
Authors: Michael B. Albert
Journal: Annals of Internal Medicine (1990)

Brief Reports15 July 1990Successful Outpatient Treatment of Gallstones with Piezoelectric LithotripsyMichael B. Albert, MD, Hans Fromm, MD, Rosemarie Borstelmann, CRNP, Colleen M. Shehan, RN, Richard Gicking, PAMichael B. Albert, MDSearch for more papers by this author, Hans Fromm, MDSearch for more papers by this author, Rosemarie Borstelmann, CRNPSearch for more papers by this author, Colleen M. Shehan, RNSearch for more papers by this author, Richard Gicking, PASearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-113-2-164 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe application of extracorporeal shock-wave lithotripsy to the treatment of gallstones has followed its promising results in the treatment of urinary calculi (1, 2). First-generation spark-gap lithotriptors required hospitalization of patients and use of anesthesia or analgesia (3). Improved lithotripsy technology has recently permitted virtually pain-free treatments in the outpatient setting (4). We report the first U.S. experience with piezoelectric lithotripsy in the treatment of gallstones in outpatients without anesthesia, analgesia, or sedation.MethodsDuring a 21-month period, we recruited 60 symptomatic patients with gallstones (38 women, 22 men). Their mean age was 48 years (range, 27 to 70 years)...References1. DrachDretlerFair GSW. Report of the United States cooperative study of extracorporeal shock wave lithotripsy. J Urol. 1987;135:1127-33. CrossrefGoogle Scholar2. MillerCollinsTurbow HLA. Initial EDAP LT-01 Lithotripsy Group experience in the United States. J Urol. 1989; 142:1412-4. CrossrefMedlineGoogle Scholar3. SackmannDeliusSauerbruch MMT. Shock-wave lithotripsy of gallbladder stones. The first 175 patients. N Engl J Med. 1988; 318:393-7. CrossrefMedlineGoogle Scholar4. VallancienAvilesMunozVeillonCharltonBrisset GJRBMJ. Piezoelectric extracorporeal lithotripsy by ultrashort waves with the EDAP LT-01 device. J Urol. 1988;139:689-94. CrossrefMedlineGoogle Scholar5. Fromm H. Ursodeoxycholic acid for adjuvant therapy with extracorporeal shock-wave lithotripsy of gallstones. J Clin Gastroenterol. 1988;10:S18-21. MedlineGoogle Scholar6. BarkunPonchon AT. Extracorporeal biliary lithotripsy: review of experimental studies and a clinical update. Ann Intern Med. 1990; 112:126-37. LinkGoogle Scholar7. Stern W. Meeting of the Food and Drug Administration Gastroenterology-Urology Device Section Advisory Panel on extracorporeal shock-wave lithotripsy for gallbladder stones. October 19, 1989. Am J Gastroenterol. 1990;85:238-40. MedlineGoogle Scholar8. FrommRoatGonzalez HJV. Comparative efficacy and side effects of ursodeoxycholic and chenodeoxycholic acids in dissolving gallstones: a double blind controlled study. Gastroenterology. 1983;85:1257-64. CrossrefMedlineGoogle Scholar9. ThistleMayBender JGC. Dissolution of cholesterol gallbladder stones by methyl tert-butyl ether administered by percutaneous transhepatic catheter. N Engl J Med. 1989;320:633-9. CrossrefMedlineGoogle Scholar10. AlbertFrommShehanGicking MHCR. Densely calcified gallstone treated successfully by piezoelectric lithotripsy. Gastroenterology. 1990;98:777-9. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: From The George Washington University Medical Center, Washington, D.C. For current author addresses, see end of text. 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