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: Johnson L Thistle, Bert T Petersen, Claire E Bender, Andrew J Leroy, Timothy M Ridgway
Format: Article
Language:English
Published: Wiley 1990-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/1990/932192
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author Johnson L Thistle
Bert T Petersen
Claire E Bender
Andrew J Leroy
Timothy M Ridgway
author_facet Johnson L Thistle
Bert T Petersen
Claire E Bender
Andrew J Leroy
Timothy M Ridgway
author_sort Johnson L Thistle
collection DOAJ
description 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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institution Kabale University
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language English
publishDate 1990-01-01
publisher Wiley
record_format Article
series Canadian Journal of Gastroenterology
spelling doaj-art-2ae778352dd34a9a99d62ed07682c0fb2025-02-03T05:47:06ZengWileyCanadian Journal of Gastroenterology0835-79001990-01-014962462710.1155/1990/932192Percutaneous Dissolution of Gallstones using Methyl Tert-Butyl EtherJohnson L ThistleBert T PetersenClaire E BenderAndrew J LeroyTimothy M RidgwayRadiolucent 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.http://dx.doi.org/10.1155/1990/932192
spellingShingle Johnson L Thistle
Bert T Petersen
Claire E Bender
Andrew J Leroy
Timothy M Ridgway
Percutaneous Dissolution of Gallstones using Methyl Tert-Butyl Ether
Canadian Journal of Gastroenterology
title Percutaneous Dissolution of Gallstones using Methyl Tert-Butyl Ether
title_full Percutaneous Dissolution of Gallstones using Methyl Tert-Butyl Ether
title_fullStr Percutaneous Dissolution of Gallstones using Methyl Tert-Butyl Ether
title_full_unstemmed Percutaneous Dissolution of Gallstones using Methyl Tert-Butyl Ether
title_short Percutaneous Dissolution of Gallstones using Methyl Tert-Butyl Ether
title_sort percutaneous dissolution of gallstones using methyl tert butyl ether
url http://dx.doi.org/10.1155/1990/932192
work_keys_str_mv AT johnsonlthistle percutaneousdissolutionofgallstonesusingmethyltertbutylether
AT berttpetersen percutaneousdissolutionofgallstonesusingmethyltertbutylether
AT claireebender percutaneousdissolutionofgallstonesusingmethyltertbutylether
AT andrewjleroy percutaneousdissolutionofgallstonesusingmethyltertbutylether
AT timothymridgway percutaneousdissolutionofgallstonesusingmethyltertbutylether