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. 1977 Mar;59(2):153–157.

Dissolution of retained choledochal calculi.

M H Wheeler
PMCID: PMC2491731  PMID: 843050

Abstract

The history of the technique of promoting dissolution of retained gallstones in the biliary tree is briefly reviewed. Present methods are described in detail and our own experience recorded. We have treated six patients with retained calculi by means of heparinized saline and sodium cholate infusions of the common bile duct. Successful dissolution of calculi was achieved in five cases, but one patient developed severe pancreatitis and renal failure which responded to peritoneal dialysis. We believe that the method is a valuable alternative to re-exploration of the common bile duct, particularly when calculi are situated in the distal part of the duct.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BARTLETT M. K., DREYFUSS J. R. Residual common duct stones. Surgery. 1960 Feb;47:202–205. [PubMed] [Google Scholar]
  2. BEST R. R., RASMUSSEN J. A., WILSON C. E. An evaluation of solutions for fragmentation and dissolution of gallstones and their effect on liver and ductal tissue. Ann Surg. 1953 Oct;138(4):570–581. doi: 10.1097/00000658-195310000-00010. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Britton D. C., Gill B. S., Taylor R. M., James O. The removal of retained gallstones from the common bile duct: experience with sodium cholate infusion and the Burhenne catheter. Br J Surg. 1975 Jul;62(7):520–523. doi: 10.1002/bjs.1800620705. [DOI] [PubMed] [Google Scholar]
  4. Carey M. C., Small D. M. The characteristics of mixed micellar solutions with particular reference to bile. Am J Med. 1970 Nov;49:590–608. doi: 10.1016/s0002-9343(70)80127-9. [DOI] [PubMed] [Google Scholar]
  5. Catt P. B., Hogg D. F., Clunie G. J., Hardie I. R. Retained biliary calculi: removal by a simple non-operative technique. Ann Surg. 1974 Aug;180(2):247–251. doi: 10.1097/00000658-197408000-00021. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Farrell K. E., Smith D. C., Mackay C. Proceedings: gall-stone dissolution in vitro. Br J Surg. 1973 Nov;60(11):900–900. [PubMed] [Google Scholar]
  7. Gardner B. Heparin for common-duct stone. N Engl J Med. 1973 Sep 13;289(11):592–592. [PubMed] [Google Scholar]
  8. Gardner B. Studies of the zeta potential of cells and a silica particle in varying concentrations of albumin, calcium, sodium, plasma, and bile. J Lab Clin Med. 1969 Feb;73(2):202–209. [PubMed] [Google Scholar]
  9. Lansford C., Mehta S., Kern F., Jr The treatment of retained stones in the common bile duct with sodium cholate infusion. Gut. 1974 Jan;15(1):48–51. doi: 10.1136/gut.15.1.48. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Mok H. Y., Bell G. D., Whitney B., Dowling R. H. Stones in common bile duct: non-operative management. Proc R Soc Med. 1974 Jun;67(7):658–660. doi: 10.1177/003591577406700735. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Ostrowitz A., Gardner B. Studies of bile as a suspending medium and its relationship to gallstone formation. Surgery. 1970 Aug;68(2):329–333. [PubMed] [Google Scholar]
  12. Small D. M., Rapo S. Source of abnormal bile in patients with cholesterol gallstones. N Engl J Med. 1970 Jul 9;283(2):53–57. doi: 10.1056/NEJM197007092830201. [DOI] [PubMed] [Google Scholar]
  13. Small D. M. The formation of gallstones. Adv Intern Med. 1970;16:243–264. [PubMed] [Google Scholar]
  14. Way L. W., Admirand W. H., Dunphy J. E. Management of choledocholithiasis. Ann Surg. 1972 Sep;176(3):347–359. doi: 10.1097/00000658-197209000-00011. [DOI] [PMC free article] [PubMed] [Google Scholar]

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