Piezoelectric extracorporeal shockwave lithotripsy for bile duct stone formation after choledochal cyst excision
We report a case of bile duct stones in which piezoelectric extracorporeal shockwave lithotripsy (ESWL) was highly effective for the clearance of stones. A 16-year-old girl, who had undergone excision of a choledochal cyst when she was 3 years old, presented a spiking fever and colic abdominal pain....
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Veröffentlicht in: | Pediatric surgery international 2007-04, Vol.23 (4), p.357-360 |
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creator | Okada, Yasuhiro Miyamoto, Masatoshi Yamazaki, Toru Motoi, Isamu Kuribayashi, Masato Kodama, Koichi |
description | We report a case of bile duct stones in which piezoelectric extracorporeal shockwave lithotripsy (ESWL) was highly effective for the clearance of stones. A 16-year-old girl, who had undergone excision of a choledochal cyst when she was 3 years old, presented a spiking fever and colic abdominal pain. Radiological investigations showed two large stones incarcerating to the proximal end of hepatico-jejunostomy anastomosis. Massive debris was also present in intrahepatic bile duct proximal to the anastomosis. She underwent piezoelectric ESWL with an EDAP LT02 lithotripter. An average of 40 min ESWL session was repeated at intervals of 2 or 3 days. Neither anesthetic nor sedative treatment was required. By the end of the sixth session, the stones incarcerated were fragmented and the debris in the intrahepatic bile duct was completely eliminated. We conclude that piezoelectric ESWL is a less invasive, effective and repeatable method, therefore, it could be a treatment of choice for bile duct stone formation after choledochal cyst excision. |
doi_str_mv | 10.1007/s00383-006-1777-6 |
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A 16-year-old girl, who had undergone excision of a choledochal cyst when she was 3 years old, presented a spiking fever and colic abdominal pain. Radiological investigations showed two large stones incarcerating to the proximal end of hepatico-jejunostomy anastomosis. Massive debris was also present in intrahepatic bile duct proximal to the anastomosis. She underwent piezoelectric ESWL with an EDAP LT02 lithotripter. An average of 40 min ESWL session was repeated at intervals of 2 or 3 days. Neither anesthetic nor sedative treatment was required. By the end of the sixth session, the stones incarcerated were fragmented and the debris in the intrahepatic bile duct was completely eliminated. We conclude that piezoelectric ESWL is a less invasive, effective and repeatable method, therefore, it could be a treatment of choice for bile duct stone formation after choledochal cyst excision.</description><identifier>ISSN: 0179-0358</identifier><identifier>EISSN: 1437-9813</identifier><identifier>DOI: 10.1007/s00383-006-1777-6</identifier><identifier>PMID: 17377828</identifier><language>eng</language><publisher>Germany: Springer Nature B.V</publisher><subject>Adolescent ; Bile Ducts, Intrahepatic ; Biliary Tract Surgical Procedures - adverse effects ; Cholangiopancreatography, Magnetic Resonance ; Choledochal Cyst - surgery ; Female ; Follow-Up Studies ; Gallstones - diagnosis ; Gallstones - etiology ; Gallstones - therapy ; Humans ; Lithotripsy - methods ; Postoperative Complications ; Tomography, X-Ray Computed</subject><ispartof>Pediatric surgery international, 2007-04, Vol.23 (4), p.357-360</ispartof><rights>Springer-Verlag 2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c355t-8bfe2c9670628e91769115de38379c0c00e8bed729667e14a3677032b51e5a573</citedby><cites>FETCH-LOGICAL-c355t-8bfe2c9670628e91769115de38379c0c00e8bed729667e14a3677032b51e5a573</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17377828$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Okada, Yasuhiro</creatorcontrib><creatorcontrib>Miyamoto, Masatoshi</creatorcontrib><creatorcontrib>Yamazaki, Toru</creatorcontrib><creatorcontrib>Motoi, Isamu</creatorcontrib><creatorcontrib>Kuribayashi, Masato</creatorcontrib><creatorcontrib>Kodama, Koichi</creatorcontrib><title>Piezoelectric extracorporeal shockwave lithotripsy for bile duct stone formation after choledochal cyst excision</title><title>Pediatric surgery international</title><addtitle>Pediatr Surg Int</addtitle><description>We report a case of bile duct stones in which piezoelectric extracorporeal shockwave lithotripsy (ESWL) was highly effective for the clearance of stones. A 16-year-old girl, who had undergone excision of a choledochal cyst when she was 3 years old, presented a spiking fever and colic abdominal pain. Radiological investigations showed two large stones incarcerating to the proximal end of hepatico-jejunostomy anastomosis. Massive debris was also present in intrahepatic bile duct proximal to the anastomosis. She underwent piezoelectric ESWL with an EDAP LT02 lithotripter. An average of 40 min ESWL session was repeated at intervals of 2 or 3 days. Neither anesthetic nor sedative treatment was required. By the end of the sixth session, the stones incarcerated were fragmented and the debris in the intrahepatic bile duct was completely eliminated. We conclude that piezoelectric ESWL is a less invasive, effective and repeatable method, therefore, it could be a treatment of choice for bile duct stone formation after choledochal cyst excision.</description><subject>Adolescent</subject><subject>Bile Ducts, Intrahepatic</subject><subject>Biliary Tract Surgical Procedures - adverse effects</subject><subject>Cholangiopancreatography, Magnetic Resonance</subject><subject>Choledochal Cyst - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gallstones - diagnosis</subject><subject>Gallstones - etiology</subject><subject>Gallstones - therapy</subject><subject>Humans</subject><subject>Lithotripsy - methods</subject><subject>Postoperative Complications</subject><subject>Tomography, X-Ray Computed</subject><issn>0179-0358</issn><issn>1437-9813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkUFr3DAQhUVoSLZpfkAuQfSQm9uRFGvkY1mStLDQHJKzkOUx68S7ciW56ebXV8suFHoamPnmMfMeY1cCvggA_JoAlFEVgK4EIlb6hC3ErcKqMUJ9YAsQ2FSganPOPqb0AgBG6eaMnQtUiEaaBZseB3oPNJLPcfCc_uTofIhTiORGntbBv76538THIa9DQaa0432IvB1G4t3sM085bGnf27g8hC13fabI_TqM1AW_Lip-l3JR9kMq80_stHdjostjvWDP93dPy-_V6ufDj-W3VeVVXefKtD1J32gELQ01AnUjRN1R-RcbDx6ATEsdykZrJHHrlEYEJdtaUO1qVBfs5qA7xfBrppTtZkiextFtKczJFri4J0UBP_8HvoQ5bsttVkqJIGujCiQOkI8hpUi9neKwcXFnBdh9FvaQhS1Z2H0WVped66Pw3G6o-7dxNF_9BahShfs</recordid><startdate>20070401</startdate><enddate>20070401</enddate><creator>Okada, Yasuhiro</creator><creator>Miyamoto, Masatoshi</creator><creator>Yamazaki, Toru</creator><creator>Motoi, Isamu</creator><creator>Kuribayashi, Masato</creator><creator>Kodama, Koichi</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20070401</creationdate><title>Piezoelectric extracorporeal shockwave lithotripsy for bile duct stone formation after choledochal cyst excision</title><author>Okada, Yasuhiro ; Miyamoto, Masatoshi ; Yamazaki, Toru ; Motoi, Isamu ; Kuribayashi, Masato ; Kodama, Koichi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c355t-8bfe2c9670628e91769115de38379c0c00e8bed729667e14a3677032b51e5a573</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adolescent</topic><topic>Bile Ducts, Intrahepatic</topic><topic>Biliary Tract Surgical Procedures - adverse effects</topic><topic>Cholangiopancreatography, Magnetic Resonance</topic><topic>Choledochal Cyst - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gallstones - diagnosis</topic><topic>Gallstones - etiology</topic><topic>Gallstones - therapy</topic><topic>Humans</topic><topic>Lithotripsy - methods</topic><topic>Postoperative Complications</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Okada, Yasuhiro</creatorcontrib><creatorcontrib>Miyamoto, Masatoshi</creatorcontrib><creatorcontrib>Yamazaki, Toru</creatorcontrib><creatorcontrib>Motoi, Isamu</creatorcontrib><creatorcontrib>Kuribayashi, Masato</creatorcontrib><creatorcontrib>Kodama, Koichi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric surgery international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Okada, Yasuhiro</au><au>Miyamoto, Masatoshi</au><au>Yamazaki, Toru</au><au>Motoi, Isamu</au><au>Kuribayashi, Masato</au><au>Kodama, Koichi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Piezoelectric extracorporeal shockwave lithotripsy for bile duct stone formation after choledochal cyst excision</atitle><jtitle>Pediatric surgery international</jtitle><addtitle>Pediatr Surg Int</addtitle><date>2007-04-01</date><risdate>2007</risdate><volume>23</volume><issue>4</issue><spage>357</spage><epage>360</epage><pages>357-360</pages><issn>0179-0358</issn><eissn>1437-9813</eissn><abstract>We report a case of bile duct stones in which piezoelectric extracorporeal shockwave lithotripsy (ESWL) was highly effective for the clearance of stones. A 16-year-old girl, who had undergone excision of a choledochal cyst when she was 3 years old, presented a spiking fever and colic abdominal pain. Radiological investigations showed two large stones incarcerating to the proximal end of hepatico-jejunostomy anastomosis. Massive debris was also present in intrahepatic bile duct proximal to the anastomosis. She underwent piezoelectric ESWL with an EDAP LT02 lithotripter. An average of 40 min ESWL session was repeated at intervals of 2 or 3 days. Neither anesthetic nor sedative treatment was required. By the end of the sixth session, the stones incarcerated were fragmented and the debris in the intrahepatic bile duct was completely eliminated. We conclude that piezoelectric ESWL is a less invasive, effective and repeatable method, therefore, it could be a treatment of choice for bile duct stone formation after choledochal cyst excision.</abstract><cop>Germany</cop><pub>Springer Nature B.V</pub><pmid>17377828</pmid><doi>10.1007/s00383-006-1777-6</doi><tpages>4</tpages></addata></record> |
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subjects | Adolescent Bile Ducts, Intrahepatic Biliary Tract Surgical Procedures - adverse effects Cholangiopancreatography, Magnetic Resonance Choledochal Cyst - surgery Female Follow-Up Studies Gallstones - diagnosis Gallstones - etiology Gallstones - therapy Humans Lithotripsy - methods Postoperative Complications Tomography, X-Ray Computed |
title | Piezoelectric extracorporeal shockwave lithotripsy for bile duct stone formation after choledochal cyst excision |
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