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Physical characteristics of gallstones removed at cholecystectomy: implications for extracorporeal shock-wave lithotripsy.

Physical characteristics of gallstones removed at cholecystectomy: implications for extracorporeal shock-wave lithotripsy. Research Abstract Details 

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  • Physical characteristics of gallstones removed at cholecystectomy: implications for extracorporeal shock-wave lithotripsy. Abstract Text:

    j a brinkJ A Brink,j f simeoneJ F Simeone,p r muellerP R Mueller,j m richterJ M Richter,e l prienE L Prien,j t ferrucciJ T Ferrucci,

    The criteria by which patients are selected for new, nonsurgical forms of gallstone therapy will influence the use of these techniques. We estimated the number of patients with gallbladder stones who are potentially suitable for extracorporeal shock-wave lithotripsy according to the current Food and Drug Administration protocol for the United States trials of the Dornier gallbladder lithotriptor. Exclusion criteria include patients with (1) more than three stones, (2) stones less than 0.5 cm or more than 3.0 cm in diameter, (3) radiopaque stones, and (4) a nonfunctioning gallbladder. The gallbladder contents in 100 consecutive patients undergoing cholecystectomy were analyzed according to the number, size, and calcium content of the stones as determined by specimen radiographs. Because none of these patients underwent preoperative oral cholecystography, an estimated percentage of functioning gallbladders was taken from the literature. Preoperative symptoms were not considered in determining a patient's eligibility for gallbladder lithotripsy. On the basis of these criteria, we estimated that 85% of our surgical patients would have been excluded from extracorporeal shock-wave lithotripsy according to the current Food and Drug Administration protocol for the Dornier gallbladder lithotriptor.

    Physical characteristics of gallstones removed at cholecystectomy: implications for extracorporeal shock-wave lithotripsy. Publishing Authors By Initials

    ja brinkJA Brink,jf simeoneJF Simeone,pr muellerPR Mueller,jm richterJM Richter,el prienEL Prien,jt ferrucciJT Ferrucci,

    For similar therapeutics: lithotripsy research abstracts see: therapeutics: lithotripsy research

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    Physical characteristics of gallstones removed at cholecystectomy: implications for extracorporeal shock-wave lithotripsy. Journal Published:

    PUBLICATION TYPE: Research Support, Non-U.S. Gov

    Journal: AJR. American journal of roentgenology

    VOLUME: 151

    Page Numbers: 927-31

    Journal Abbreviation:

    ISSN: 0361-803X

    DAY: 15

    MONTH: Nov

    YEAR: 1988

    Physical characteristics of gallstones removed at cholecystectomy: implications for extracorporeal shock-wave lithotripsy. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 7708173

    Physical characteristics of gallstones removed at cholecystectomy: implications for extracorporeal shock-wave lithotripsy. Keywords Mesh Terms:

    KEYWORDS: Lithotripsy

    MESH TERMS: therapy

    Chemical & Substance for Abstract: Physical characteristics of gallstones removed at cholecystectomy: implications for extracorporeal shock-wave lithotripsy. Information

    Substance Name: Calcium

    Registry Number: 7440-70-2

    Grant and Affiliation Information for Physical characteristics of gallstones removed at cholecystectomy: implications for extracorporeal shock-wave lithotripsy.

    AFFILIATION: Department of Radiology, Massachusetts General Hospital, Boston 02114.

    Country: UNITED STATES

    UNITED STATES Research PublicationUNITED STATES Research Publication

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    ACRONYM:

    MEDLINETA: AJR Am J Roentgenol

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