Percutaneous Dissolution of Gallstones using Methyl Tert-Butyl Ether
Radiolucent cholesterol gallstones can be dissolved rapidly by methyl terc-buryl ether (MTBE) introduced directly into the gallbladder. Percutaneous transhepatic catheter placement is a well established interventional radiology procedure and is the preferred route for MTBE administration. A small nu...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
1990-01-01
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| Series: | Canadian Journal of Gastroenterology |
| Online Access: | http://dx.doi.org/10.1155/1990/932192 |
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| Summary: | Radiolucent cholesterol gallstones can be dissolved rapidly by
methyl terc-buryl ether (MTBE) introduced directly into the gallbladder. Percutaneous
transhepatic catheter placement is a well established interventional
radiology procedure and is the preferred route for MTBE administration. A small
number of patients have been treated using nasobiliary placement of a gallbladder
catheter. Rapid stirring automatic pump systems allow dissolution of most
cholesterol stones, but some may require extracorporeal shock wave lithotripsy
to achieve complete dissolution and aspiration of debris. Large bore percutaneous
fragmentation and extraction methods require general anesthesia but are applicable
to pigment stones. |
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| ISSN: | 0835-7900 |