Muratori R et al, 2017: Successful extracorporeal shock wave lithotripsy (ESWL) treatment of a symptomatic massive biliary stone proximal to an anastomotic biliary stricture.
Muratori R, Mandolesi D, Galaverni MC, Azzaroli F.
Department of Clinical and Surgical Sciences, Policlinico Sant'Orsola Malpighi, Italy.
Postoperative benign biliary stricture in the anastomotic site is one of the most common complications of biliary-enteric anastomosis, with a rate of 6.87% after 2-13 years of follow-up. If untreated, biliary strictures can induce other complications such as recurrent cholangitis, intrahepatic stones, pancreatitis and secondary biliary cirrhosis. We report our experience with extracorporeal shock wave lithotripsy (ESWL) in a patient with a massive symptomatic stone proximal to an anastomotic biliary stricture.
Rev Esp Enferm Dig. 2017 Jun;109(6):459-460.
This case report on six ESWL sessions on a 6 cm biliary stone impacted on the anastomotic biliary stricture is summarized: “The procedure was successful, with no complications and an excellent clinical and laboratory response.”
It could serve again as a reminder for Urologists not to do studies to find out about possible damage of kidney stones ESWL to biliary or pancreatic tissue. There are none that would prevent gastroenterologists from using it to treat pancreatic or biliary tract stones.