ABSTRACT
After endoscopic papillotomy a frequent problem is removal of large concrements from the common bile duct. The following techniques are used for this purpose: ultrasound or electrohydraulic lithotripsy, pharmacological dissolution of concrements and their destruction with laser radiation. Mechanical lithotripsy is one of more often used methods. The authors describe their clinical experiences with the use of mechanical lithotripsy in 12 patients with large concrements in the common bile duct.
Subject(s)
Gallstones/therapy , Lithotripsy/instrumentation , Aged , Equipment Design , Female , Humans , Lithotripsy/methods , Male , Middle Aged , PolandSubject(s)
Cholelithiasis/diagnosis , Adolescent , Adult , Aged , Cholecystography , Cholelithiasis/surgery , False Negative Reactions , Female , Humans , Male , Middle Aged , UltrasonographySubject(s)
Blood Coagulation/drug effects , Somatostatin/administration & dosage , Animals , Coagulants , Dogs , Fibrinogen/analysis , Hormones/administration & dosage , Injections, Intravenous , Plasminogen/analysis , Thrombocytopenia/chemically induced , Time Factors , alpha 1-Antitrypsin/analysis , alpha-2-Antiplasmin/analysisABSTRACT
The effect of somatostatin on haemostasis in the dogs was tested. The following data could be found: marked shortening of clotting time, decrease of platelet count, decrease of fibrinogen, level, an increase of plasma euglobulin fibrinolytic activity, prolongation of thrombin time and consumption of plasminogen. The obtained results indicate a biphasic haemostatic reaction, first hypercoagulability and then hypocoagulability. The presented results are briefly discussed with some remarks to clinical practice.