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Therapeutic strategy for intrahepatic lithiasis.
- Source :
- Journal of Gastroenterology; Dec1989, Vol. 24 Issue 6, p720-727, 8p
- Publication Year :
- 1989
-
Abstract
- Among the various benign biliary tract diseases, intrahepatic lithiasis is the most refractory condition to treat surgically. Recently, endoscopic treatment (mainly cholangiofiberscopic lithotomy) has been more and more frequently employed. A nationwide survey by questionnaire was conducted in 1985 to clarify the exact status of the current therapies for intrahepatic lithiasis in Japan. A total of 143 institutions (33.4%) responded to our questionnaire, and 2614 cases over a 10-year-period were collected and analyzed. Operation alone was performed in 53.8%, operation plus endoscopie treatment in 38.6%, operation plus dissolution therapy in 5.5%, operation plus endoscopie treatment and dissolution therapy in 0.04% and endoscopie treatment alone in 2.1%. The most common treatment was surgery. This was employed in 97.9% of all the patients, but endoscopie treatment was added in 40.7% of the cases to extract stones mainly intra- and/or post-operatively. Dissolution therapy was carried out occasionally, but with poor results. Conducting both adequate surgical biliary drainage and cholangiofiberscopic lithotomy may result in a marked improvement in the treatment of this intractable disease. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 09441174
- Volume :
- 24
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Journal of Gastroenterology
- Publication Type :
- Academic Journal
- Accession number :
- 71066938
- Full Text :
- https://doi.org/10.1007/BF02774174