Michael B. Albert, MD; Hans Fromm, MD; Rosemarie Borstelmann, CRNP; Colleen M. Shehan, RN; Richard Gicking, PA
The 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.
During 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)
Albert MB, Fromm H, Borstelmann R, Shehan CM, Gicking R. Successful Outpatient Treatment of Gallstones with Piezoelectric Lithotripsy. Ann Intern Med. ;113:164–166. doi: 10.7326/0003-4819-113-2-164
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Published: Ann Intern Med. 1990;113(2):164-166.
Biliary Disorders, Gastroenterology/Hepatology.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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