Saudi Journal of Gastroenterology

ARTICLES
Year
: 1998  |  Volume : 4  |  Issue : 3  |  Page : 167--171

Extracorporeal shock wave lithotripsy for the rescue of post-endoscopic or surgically retained biliary duct stones: Does saline irrigation affect the outcome ?


Salah R El-Faqih1, Ibrahim Abdulkarim Al-Mofleh2, Rashed Suliman Al-Rashed2, Ramiz Atassi1, Saleh Mohsin Al-Amri2, Salaheldin Hassan1, Khalid M Fouda1, Riyadh F Talic1, Imtiaz Husain1 
1 Division of Urology, College of Medicine, King Khalid University Hospital, Riyadh, Saudi Arabia
2 Division of Gastroenterology, College of Medicine, King Khalid University Hospital, Riyadh, Saudi Arabia

Correspondence Address:
Salah R El-Faqih
Department of Surgery (Urology), King Khalid University Hospital, P.O. Box 7805, Riyadh 11472
Saudi Arabia

Extracorporeal shock wave lithotripsy (ESWL) has been found valuable in situations where obstructing stones in the common bile or intrahepatic ducts are retained following surgery or attempted endoscopic removal. However, success rates are dependent on the type of ESWL system employed and upon a high frequency rate of repeated treatment sessions. We outline our experience with 23 cases of retained, obstructing bile duct stones, ranging in size from 10 to 40 mm diameter, treated with Dornier HM3 ESWL. In the initial 12 patients in the series, successful stone fragmentation occurred in 83% of cases with a median 1.6 treatment sessions. In the latter 11 cases in the series, patients were treated prone and the stone-bearing biliary duct was irrigated with saline solution during ESWL delivery. With this technique, successful stone break up was achieved in all patients (100%) with a single treatment session. Endoscopic sphincterotomy is, however, a prerequisite for extracorporeal lithotripsy and, despite the high success rates now available with new techniques, we believe the ESWL should continue to be employed in support of primary endoscopic methods of management for obstructing bile duct stones.


How to cite this article:
El-Faqih SR, Al-Mofleh IA, Al-Rashed RS, Atassi R, Al-Amri SM, Hassan S, Fouda KM, Talic RF, Husain I. Extracorporeal shock wave lithotripsy for the rescue of post-endoscopic or surgically retained biliary duct stones: Does saline irrigation affect the outcome ?.Saudi J Gastroenterol 1998;4:167-171


How to cite this URL:
El-Faqih SR, Al-Mofleh IA, Al-Rashed RS, Atassi R, Al-Amri SM, Hassan S, Fouda KM, Talic RF, Husain I. Extracorporeal shock wave lithotripsy for the rescue of post-endoscopic or surgically retained biliary duct stones: Does saline irrigation affect the outcome ?. Saudi J Gastroenterol [serial online] 1998 [cited 2021 Feb 24 ];4:167-171
Available from: https://www.saudijgastro.com/article.asp?issn=1319-3767;year=1998;volume=4;issue=3;spage=167;epage=171;aulast=El-Faqih;type=0