MEDICAL DISSOLUTION OF GALLSTONES - CLINICAL-EXPERIENCE OF D-LIMONENE AS A SIMPLE, SAFE, AND EFFECTIVE SOLVENT

被引:20
作者
IGIMI, H [1 ]
TAMURA, R [1 ]
TORAISHI, K [1 ]
YAMAMOTO, F [1 ]
KATAOKA, A [1 ]
IKEJIRI, Y [1 ]
HISATSUGU, T [1 ]
SHIMURA, H [1 ]
机构
[1] FUKUOKA UNIV HOSP,DEPT SURG 1,JYONAN KU,FUKUOKA 81401,JAPAN
关键词
D-LIMONENE PREPARATION; RETAINED GALLSTONE; DIRECT GALLSTONE DISSOLUTION; CHELATING AGENT;
D O I
10.1007/BF01300757
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Retained gallstones in the bile ducts account for 60-70% of all the cases of postcholecystectomy syndromes. A solvent d-limonene preparation was injected directly to the biliary system of 200 patients to dissolve or disintegrate the retained gallstones. The outcomes were: retained stones completely disappeared in 96 cases (48%); partial dissolution in 29 (14.5%); chelating agent was also used with partial dissolution in 16 (8%); ineffective in 59 (24.5%). To make this method more effective, several guidelines should be observed including an in vitro trial dissolution test. Cautious observation for possible side effects and frequent hepatic and pancreatic function tests during the treatment with this preparation also should be performed.
引用
收藏
页码:200 / 208
页数:9
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