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)
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Albert MB, Fromm H, Borstelmann R, Shehan CM, Gicking R. Successful Outpatient Treatment of Gallstones with Piezoelectric Lithotripsy. Ann Intern Med. 1990;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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