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Treatment of urinary lithiasis following kidney transplantation with extracorporeal shock-wave lithotripsy

Chinese Medical Journal 2011年第9期124卷 1431-1434页

作者： LI Sha-dan WANG Qing-tang CHEN Wei-guo Department of Urology General Hospital of Chengdu Military Command Chengdu Sichuan 610083 China

Background The incidence of urinary lithiasis following kidney transplantation is very low, and decision-supporting data are not available. The aim of this study was to review the diagnosis and treatment of urinary lithiasis following kidney transplantation, which is of realistic significance to reduce urinary lithiasis following kidney transplantation, prolong the survival of renal *** The incidence, diagnosis and treatment of urinary lithiasis in ten patients following kidney transplantation were analyzed retrospectively. Seven out of these patients had stones sized approximately 0.4-1.1 cm, and they were treated with low-voltage, low-frequency extracorporeal shock-wave lithotripsy （ESWL）. Two patients had stones sized ＜0.3 cm and they underwent cystoscopy and ureteroscopy. The ureteral catheter endoscopes were inserted in a retrograde manner to mobilize stones repeatedly. After elimination of obstruction, a ureteral double J stent was *** patient had a pelvic stone （1.2 cm）, which was removed *** The major clinical manifestations were hematuria, oliguria or anuria. Some patients were asymptomatic and they were diagnosed through laboratory tests and imaging examinations, e.g., ultrasonography. After elimination of obstruction, subjective symptoms disappeared in all patients, and the function of renal allografts recovered. A six-month follow-up indicated no remnant stones or lithiasis *** The diagnosis and treatment of renal allograft lithiasis are challenging. After prompt and appropriate treatment, the prognosis was satisfactory, and permanent renal functional impairment did not occur in most patients.

关键词： kidney transplantation lithiasis extracorporeal shock-wave lithotripsy

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extracorporeal shock wave lithotripsy for pancreatic and large common bile duct stones

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World Journal of Gastroenterology 2011年第39期17卷 4365-4371页

作者： Manu Tandan D Nageshwar Reddy Reddy Asian Institute of Gastroenterology 6-3-652 SomajigudaHyderabad 500 082India

Extraction of large pancreatic and common bile duct(CBD)calculi has always challenged the therapeutic *** shockwave lithotripsy(ESWL)is an excellent tool for patients with large pancreatic and CBD calculi that are not amenable to routine *** calculi in the head and body are targeted by ESWL,with an aim to fragment them toshocks being de-livered at each *** use of epidural anesthesia helped in reducing patient ***,together with the better focus achieved with newer third-gen-eration lithotripters,prevents collateral tissue damage and minimizes the *** in our experience with nearly 1300 patients were minimal,and no extension of hospital stay was *** rates of clearance of pancreatic and biliary calculi with minimal adverse effects have been reported from the centers where ESWL is performed *** view of its high efficiency,non-invasive nature and low complication rates,ESWL can be offered as the first-line therapy for selected patients with large pancreatic and CBD calculi.

关键词： Pancreatic calculi extracorporeal shock-wave lithotripsy Common bile duct calculi

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