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https://www.readbyqxmd.com/read/29333511/evaluating-the-importance-of-different-computed-tomography-scan-based-factors-in-predicting-the-outcome-of-extracorporeal-shock-wave-lithotripsy-for-renal-stones
#1
Muhammad Waqas, Imad-Ud-Din Saqib, Muhammad Imran Jamil, Mohammad Ayaz Khan, Saeed Akhter
Purpose: To evaluate the impact of various computed tomography scan-based parameters of renal stones on the outcome of extracorporeal shock wave lithotripsy (ESWL). Materials and Methods: We conducted a retrospective study of patients who underwent ESWL for renal stones (sized 5-20 mm) from January 2013 to December 2016. We evaluated body mass index, location of the stone, skin-to-stone distance (SSD), stone attenuation value (SAV), stone diameter, Hounsfield density, stone area, and stone volume...
January 2018: Investigative and Clinical Urology
https://www.readbyqxmd.com/read/29243260/multimodal-treatment-in-difficult-sialolithiasis-role-of-extracorporeal-shock-wave-lithotripsy-and-intraductal-pneumatic-lithotripsy
#2
Michael Koch, Mirco Schapher, Konstantinos Mantsopoulos, Felix von Scotti, Miguel Goncalves, Heinrich Iro
OBJECTIVES: To assess results after treatment of difficult/complex sialolithiasis with extracorporeal shock-wave lithotripsy (ESWL) and intraductal pneumatic lithotripsy (IPL). STUDY DESIGN: Retrospective study in a tertiary referral center. METHODS: Altogether, 63 stones were diagnosed in 38 patients with difficult/complex sialolithiasis. Forty-nine stones were treated with fragmentation using both ESWL and IPL. Stones accessible with the sialendoscope were treated primarily with IPL in multiple sialolithiasis...
December 15, 2017: Laryngoscope
https://www.readbyqxmd.com/read/29218314/endoscopic-pancreatic-balloon-sphincteroplasty-for-difficult-to-treat-pancreatic-stones-and-strictures-experience-in-80-patients
#3
Rinkesh Kumar Bansal, Gaurav Kumar Patil, Rajesh Puri, Narendra S Choudhary, Saurabh R Patle, Zubin D Sharma, Randhir Sud
Background and aim:  There is paucity of data about endoscopic pancreatic sphincteroplasty (EPS) after endoscopic pancreatic sphincterotomy (EPST) in the treatment of chronic pancreatitis. The aim of this study was to establish the indications for EPS, complications related to it, and to examine its effectiveness in managing chronic pancreatitis after a year of follow-up. Methods:  We evaluated the safety and efficacy of pancreatic balloon dilation coupled with sphincterotomy for the treatment of chronic pancreatitis...
December 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/29205049/extracorporeal-shockwave-lithotripsy-could-lead-to-a-prolonged-increase-in-renal-fibrotic-process-of-up-to-2-years
#4
Chi-Fai Ng, Sylvia Luke, Chi-Hang Yee, Steven Ch Leung, Jeremy Y C Teoh, John Yuen
INTRODUCTION AND OBJECTIVE: This prospective study aimed to evaluate the effect of ramping and pause protocols on renal fibrosis, blood pressure control and renal function in patients receiving extracorporeal shockwave lithotripsy (SWL). METHODS: This study prospectively recruited 320 patients with solitary radiopaque renal stones <15 mm in size. Patients were randomized to receive one of four shockwave protocols: (1) standard protocol (no ramping or pause); (2) ramping protocol alone; (3) ramping and pause protocols or (4) pause protocol alone...
December 5, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/29204905/intracorporeal-lithotripsy
#5
REVIEW
Peter Alken
Since the introduction of ESWL, PNL and URS during the early 1980s the application rate of ESWL has declined while those of PNL and URS have increased. This is mainly due to the facts that instruments and techniques for Intracorporeal Lithotripsy (IL) have made a continuous progress. This review shows that today an array of options for IL within the entire urinary tract is available to treat stones in a perfect minimal invasive way. At the same time further improvements of IL are already visible.
December 4, 2017: Urolithiasis
https://www.readbyqxmd.com/read/29197021/how-to-accelerate-the-upper-urinary-stone-discharge-after-extracorporeal-shockwave-lithotripsy-eswl-for%C3%A2-%C3%A2-15%C3%A2-mm-upper-urinary-stones-a-prospective-multi-center-randomized-controlled-trial-about-external-physical-vibration-lithecbole-epvl
#6
Wenqi Wu, Zhou Yang, Fengling Tang, Changbao Xu, Youzhi Wang, Xiaojian Gu, Xuehua Chen, Rongjiang Wang, Jiaka Yan, Xiang Wang, Wenxi Gao, Chunhua Hou, Jianming Guo, Jian Zhang, Alberto Gurioli, Zhangqun Ye, Guohua Zeng
OBJECTIVE: To asset the efficacy and safety of EPVL plus ESWL compared with ESWL alone for the treatment of simple upper urinary stones (< 15 mm). MATERIALS AND METHODS: All patients with upper urinary stones (< 15 mm) were prospectively randomized into two groups. In treatment group, patients were assigned to immediate EPVL after ESWL, while in control group, ESWL alone was offered. All patients were reexamined at 1, 2, and 4 weeks after ESWL. Stone size, stone location, stone-free rate (SFR), and complication rate were compared...
December 1, 2017: World Journal of Urology
https://www.readbyqxmd.com/read/29188308/ureteroscopy-from-the-recent-past-to-the-near-future
#7
REVIEW
José Manuel Reis Santos
Stone surgery is one of oldest surgical practices undertaken by man. Hippocrates refused to let his followers "cut for the stone" and it was only in February 1980, when the first human trial of shock wave therapy on a renal stone was performed with success that a new era in minimally invasive treatment (surgery) for stones was opened up and this condemnation was finally resolved in the Hippocratic Oath. Endoscopy, using natural orifices, supported by anaesthesia, incremented by technology and with access to all points along the urinary tract, began by competing with ESWL, but is now the treatment of choice in most cases...
November 29, 2017: Urolithiasis
https://www.readbyqxmd.com/read/29151179/comparison-of-three-analgesic-drug-regimens-with-twelfth-subcostal-nerve-block-for-pain-control-during-extracorporeal-shock-wave-lithotripsy
#8
Miguel Maldonado-Avila, Leopoldo Mateo Garduño-Arteaga, Roberto Alejandro Vela-Mollinedo, Jorge Jaspersen-Gastelum, Francisco Virgen-Gutierrez, Marcos Del Rosario-Santiago, Victor Rios-Davila
INTRODUCTION AND OBJECTIVE: Extracorporeal shock wave lithotripsy (ESWL) is the first-line treatment in the majority of cases of upper urinary tract stones. Since its introduction, attempts have been made to establish the ideal accompanying analgesic method to enable the application of shock waves of adequate duration and intensity for efficacious stone fragmentation. An open, randomized, prospective, longitudinal, comparative, and experimental clinical study was conducted to evaluate the efficacy of subcostal nerve block with lidocaine, comparing it in combination with tramadol or diclofenac for pain control during ESWL...
November 18, 2017: International Urology and Nephrology
https://www.readbyqxmd.com/read/29139242/-the-effiectiveness-of-extracorporeal-shock-wave-lithotripsy-in-treating-proxima-ureteral-stones
#9
M I Kogan, I I Belousov, A M Yassine
Extracorporeal shock wave lithotripsy (ESWL) has proven efficacy in the treatment of proximal ureteral stones. The research to date has not been able to establish real time to spontaneous stone clearance after ESWL and the appropriateness and effectiveness of -blockers in stimulating residual stone clearance after ESWL. AIM: To conduct a comprehensive assessment of the effectiveness of ESWL in treating proximal ureteral stones and determine the appropriateness of using -blockers to stimulate residual stone clearance...
October 2017: Urologii︠a︡
https://www.readbyqxmd.com/read/29130676/-the-feasibility-of-ct-attenuation-value-to-predict-the-composition-of-upper-urinary-calculi-and-success-rate-of-extracorporeal-shock-wave-lithotripsy
#10
Yu Fan, Zhen-Hua Liu, Qiang Wei, Zhuang Tang, Liang-Ren Liu, Bi-Hua Ren, Xiang Li, Yi-Ge Bao, Lu Yang
OBJECTIVE: To explore the feasibility of CT attenuation value (CTvalue) to predict the composition of upper urinary calculi and the number of shock waves (NSW) and success rate (SR) of extracorporeal shock wave lithotripsy (ESWL). METHODS: A total of 146 patients with upper urinary calculi treated by ESWL were included. CT scan was performed before ESWL. Upper urinary calculi with the maximum diameters of less than or equal to 2 cm were included. Infrared spectroscopy was used to analyze the composition of calculi...
September 2017: Sichuan da Xue Xue Bao. Yi Xue Ban, Journal of Sichuan University. Medical Science Edition
https://www.readbyqxmd.com/read/29119224/impact-of-repeated-extracorporeal-shock-wave-lithotripsy-on-prepubertal-rat-kidney
#11
Jae Min Chung, Bu Kyung Park, Jung Hee Kim, Hyun Jung Lee, Sang Don Lee
This study aimed to investigate the effects of repeated extracorporeal shock wave lithotripsy (ESWL) on the kidneys of prepubertal and adult rats. Thirty rats were used: 15 were prepubertal (3 weeks of age) with an average body weight of 72.3 ± 3.3 g, and 15 were adults with of 265 ± 11.3 g. The prepubertal and adult rats were separately and randomly allocated to three groups, each consisting of five rats. Following anesthetization, the left kidney of each rat in each group received shock waves in one, two, or three sessions separated by 72 h...
November 8, 2017: Urolithiasis
https://www.readbyqxmd.com/read/29104789/evaluation-of-selected-doppler-parameters-of-renal-blood-flow-in-patients-undergoing-extracorporeal-shock-wave-lithotripsy
#12
Krzysztof Balawender, Stanisław Orkisz
Introduction: Despite the risk of complications, which does not exceed several percent, extracorporeal shock wave lithotripsy (ESWL) causes morphological and functional changes in kidneys as a result of the effect of the generated shock wave energy on the renal parenchyma structure. Material and methods: Forty-two patients were included in the study. The mean age in the studied group was 50.9 years (SD ±13.7). Extracorporeal lithotripsy treatments were carried out during the period from January 2014 to April 2014 using an electromagnetic shock wave generator...
2017: Central European Journal of Urology
https://www.readbyqxmd.com/read/29096689/rectally-administered-indomethacin-to-prevent-post-eswl-pancreatitis-ripep-study-protocol-for-a-randomized-controlled-trial
#13
Yang-Yang Qian, Hui Chen, Xin-Ying Tang, Xi Jiang, Wei Qian, Wen-Bin Zou, Lei Xin, Bo Li, Yan-Fen Qi, Liang-Hao Hu, Duo-Wu Zou, Zhen-Dong Jin, Dong Wang, Yi-Qi Du, Luo-Wei Wang, Feng Liu, Zhao-Shen Li, Zhuan Liao
BACKGROUND: Pancreatic extracorporeal shock wave lithotripsy (P-ESWL) is the first-line therapy for large pancreatic duct stones. Although it is a highly effective and safe procedure for the fragmentation of pancreatic stones, it is still not complication-free. Just like endoscopic retrograde cholangiopancreatography (ERCP), pancreatitis is the most common complication. To date, nonsteroidal anti-inflammatory drugs (NSAIDs) have proven to be the only effective prophylactic medication for post-ERCP pancreatitis and the European, American and Japanese Society for Gastrointestinal Endoscopy guidelines have recommended prophylactic rectally administered indomethacin for all patients undergoing ERCP...
November 2, 2017: Trials
https://www.readbyqxmd.com/read/29089544/a-network-meta-analysis-on-the-beneficial-effect-of-medical-expulsive-therapy-after-extracorporeal-shock-wave-lithotripsy
#14
Tong-Xin Yang, Bang-Hua Liao, Yun-Tian Chen, Hong Li, Qing He, Qin-Yu Liu, Kun-Jie Wang
We applied a newly introduced method, network meta-analysis, to re-evaluate the expulsion effect of drugs including tamsulosin, doxazosin, nifedipine, terazosin and rowatinex after extracorporeal shock wave lithotripsy (ESWL) as described in the literature. A systematic search was performed in Medline, Embase and Cochrane Library for articles published before March 2016. Twenty-six studies with 2775 patients were included. The primary outcome was the number of patients with successful stone expulsion. The data were subdivided into three groups according to duration of follow-up...
October 31, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29071137/effects-of-previous-unsuccessful-extracorporeal-shockwave-lithotripsy-treatment-on-the-performance-and-outcome-of-percutaneous-nephrolithotomy
#15
Hakan Türk, Mehmet Yoldaş, Tufan Süelözgen, Cemal Selcuk İşoğlu, Mustafa Karabıçak, Batuhan Ergani, Sıtkı Ün
OBJECTIVE: To evaluate the effects of previous unsuccessful extracorporeal shockwave lithotripsy (ESWL) treatment on the performance and outcome of percutaneous nephrolithotomy (PCNL). PATIENTS AND METHODS: Of 1625 PCNL procedures performed in our clinic, 393 renal units with similar stone burden and number of accesses was included in the present study. We categorised the study patients into two groups according to whether they underwent ESWL within 1 year prior to PCNL or not...
June 2017: Arab Journal of Urology
https://www.readbyqxmd.com/read/29069033/postrenal-acute-kidney-injury-in-a-patient-with-unilateral-ureteral-obstruction-caused-by-urolithiasis-a-case-report
#16
Itsuro Kazama, Toshiyuki Nakajima
RATIONALE: In patients with bilateral ureteral obstruction, the serum creatinine levels are often elevated, sometimes causing postrenal acute kidney injury (AKI). In contrast, those with unilateral ureteral obstruction present normal serum creatinine levels, as long as their contralateral kidneys are preserved intact. However, the unilateral obstruction of the ureter could affect the renal function, as it humorally influences the renal hemodynamics. PATIENT CONCERNS: A 66-year-old man with a past medical history of hypertension and diabetes mellitus came to our outpatient clinic because of right abdominal dullness...
October 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29027695/shear-wave-elastographic-alterations-in-the-kidney-after-extracorporeal-shock-wave-lithotripsy
#17
Rustu Turkay, Ercan Inci, Derya Bas, Arda Atar
OBJECTIVES: Extracorporeal shock wave lithotripsy (ESWL) is a method used frequently for the treatment of renal stone disease. Although its safety is proven, there are still concerns about its unwanted effects on kidneys. In this prospective study, we aimed to evaluate renal tissue alterations with shear wave elastography (SWE) after ESWL. We also studied the correlation between SWE and resistive index (RI) changes. METHODS: The study included 59 patients who underwent ESWL treatment for renal stone disease...
October 13, 2017: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/28976346/-analysis-of-success-predictive-factors-in-the-treatment-of-urinary-lithiasis-by-extracorporeal-shock-wave-lithotripsy-patient-optimization-eswl-score
#18
Pablo Garrido-Abad, Miguel Ángel Rodríguez-Cabello, Arturo Platas-Sancho
OBJECTIVE: Extracorporeal shock wave lithotripsy (ESWL) represents one of the most frequently used methods to treat urinary tract calculi. However, sometimes we do not obtain the fragmentation expected. The aim of this study is to evaluate the parameters that may influence ESWL final results, developing a classification for better patient's selection and outcome optimization. METHODS: 270 patients with renal or ureteral stones were retrospectively reviewed after ESWL treatment, recording both clinical parameters (age, sex, location, laterality, body mass index [BMI]), and CT-Scan parameters (stone size and volume, skin-to-stone distance (SSD), mean and maximal stone density)...
October 2017: Archivos Españoles de Urología
https://www.readbyqxmd.com/read/28968428/evaluation-of-hemostasis-parameters-and-the-role-of-the-oxidative-damage-to-plasma-proteins-in-the-modulation-of-hemostasis-in-patients-with-nephrolithiasis-before-and-after-extracorporeal-shock-wave-lithotripsy
#19
Paweł Woźniak, Bogdan Kontek, Waldemar Różański, Beata Olas
PURPOSE: Extracorporeal shock wave lithotripsy (ESWL) is a commonly-used method in urology, which may modulate hemostasis and may induce lipid peroxidation in patients with nephrolithiasis. However, previous studies only examine changes occurring in patients 30-240 min after ESWL. The main aim of the present study was to determine whether oxidative stress may modulate the hemostatic activity of plasma in patients with nephrolithiasis before ESWL and the day after treatment ESWL. This will be performed by measuring selected parameters of hemostasis in these patients, both before ESWL and the following day, and assessing the level of oxidative damage to plasma proteins in these patients by measuring two biomarkers...
2017: PloS One
https://www.readbyqxmd.com/read/28931028/the-efficacy-of-extracorporeal-shockwave-lithotripsy-for-symptomatic-ureteral-stones-predictors-of-treatment-failure-without-the-assistance-of-computed-tomography
#20
Bing-Juin Chiang, Chun-Hou Liao, Yu-Hua Lin
OBJECTIVES: Non-contrast computed tomography (NCCT) is not always performed clinically if the diagnosis of ureteral calculi has been confirmed using other radiographic imaging modalities. The aim of this study was to identify predictors of successful extracorporeal shockwave lithotripsy (ESWL) without assistance of NCCT. METHODS: We retrospectively reviewed the medical records of patients with symptomatic solitary ureteral stones who underwent ESWL between November 2015 and January 2016...
2017: PloS One
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