Treatment For Gallstone Disease

The idea of ​​directly pouring ether on stones in the gall bladder is now forgotten, different solvents were tried, some with more efficiency than drugih.Otapala are introduced into the gall bladder or through the cannula inserted through the skin in the abdominal wall, or a plastic tube inserted through the nose through the esophagus and stomach to enter the gallbladder. Ether and chloroform have gone out of favor because of adverse toxic effects - as several other agents that have occurred great in theory, but they are so effective that even dissolved the rubber and plastic tubes through which to enter! Among the agents currently in use are mono-octanoin (viscous oil, which freezes at 20 °), terpene compounds (which are present in essential oils) and methyl butyl Tether (MBTE, foul smelling flammable liquids). Two terpene compounds that appear promising D-Limonene (from citrus peel) and Rowachol, which takes a daily dose in capsule form, dissolve about 30% of the stones within a year. Lithotripsy, successful use of high energy shock waves to break stones, has revolutionized the treatment of stones in the urinary tract. Similar techniques, although still in its infancy as far as the gallbladder is concerned, are very promising.

is the first successful use of these techniques, extra corporal shock wave lithotripsy (ESWL) for gallstones was reported in 1988. Although it is a very useful technique, ESWL can not dissolve the stones, it just breaks the stones into small pieces, therefore, adjuvant therapy must be given to dissolve the fragments. Fragmentation, therefore, is essentially a method of treatment, although expensive, to reduce the time required for drug dissolution of gallstones.

a very recent innovation is an instrument that can be performed under local anesthesia through the skin puncture of the gallbladder, and once inside, head of the stones and keeps revolving at very high speeds, something like a dental drill, almost grinding stones powder. This is a technique that is still only available in some centers, but since it came into use, according to Dr Adrian Hatfield, a gastroenterologist at the Royal Middlesex Hospital in London, this has resulted in "a lot of satisfied patients who have lost their stones and kept their gallbladders ".