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C Ell

Publications and source records attributed to C Ell.

At least 55 records · Page 3Linked to original sources
PubMed1989

Tissue reactions under piezoelectric shockwave application for the fragmentation of biliary calculi.

The tissue reactions that occurred during piezoelectric shockwaves for the fragmentation of biliary calculi were investigated in 10 surgically removed stone containing human gall bladders and in acute (six dogs) and chronic (six dogs) animal experiments. Before and after shockwave (500, 1500 or 3000) in the anaesthetised dogs, computed tomography (CT), magnetic imaging (MRI) and laboratory tests were done; treatment was carried out under continuous ultrasonographic control. Shockwave applications to the human gall bladders resulted in disintegration of the stones with no macroscopically or microscopically detectable tissue changes. In acute animal experiments, small haematomas were observed in all six animals at surfaces, but also inside the liver and gall bladder (max diameter 25 mm). Perforation or intra-abdominal or pleural bleeding did not occur. In chronic experiments, no macroscopic, and only slight microscopic residual lesions (haemosiderin deposits) were seen three weeks after shockwave. In almost all instances, the lesions were detected by CT, MRI, and ultrasonography, while laboratory tests were negative.

Animals↗
PubMed1989

[Extracorporeal piezoelectric lithotripsy of salivary calculi. In vitro studies].

The feasibility of fragmentation of salivary stones by a new extracorporeal piezoelectric lithotripter was investigated. A total of 40 salivary stones were submitted to piezoelectric shockwave treatment. Prior to shockwave application the diameter, weight and volume of all the stones were determined. After shockwave application the chemical composition of the stones was investigated by X-ray diffractometry. Fragmentation was achieved in 35 of 40 (87.5%) stones. Of these 40 stones, 25 (62.5%) were disintegrated adequately (residual fragments less than 1.5 mm). No statistically significant correlation was observed between the number of discharges required for disintegration and the diameter, weight, volume or the chemical composition of the stones.

Humans↗
PubMed1988

[Piezoelectric lithotripsy of gallstones. Initial clinical experiences].

Piezoelectric lithotripsy was undertaken on 50 patients with gallbladder stones, none of them requiring anaesthesia, analgetics or sedatives. Stone fragmentation was achieved in all patients during the first treatment. In 44 patients the maximum fragment size was less than 50% of the initial stone diameter. The mean maximum fragment size after the first treatment was 4.3 mm (+/- 3.3 mm). After a follow-up of 0-2 months in 14 of the 50 patients and of 2-4 months in 6 of 13 patients, no more stones could be seen by ultrasonography. After an average period of 8 weeks, 17 of 50 patients were free of stones. Piezoelectric lithotripsy did not have any severe side effects besides a mild pancreatitis in one patient.

Adult↗
PubMed1988

ERCG: endoscopic retrograde catheterization of the gallbladder.

This report describes a newly developed catheter system with the aid of which the cystic duct and gallbladder can be reliably catheterized, retrograde, via an endoscope. In 8 out of 10 autopsy preparations, transpapillary gallbladder catheterization was successfully achieved, with an average fluoroscopic duration of 12 minutes (range: 4-20 minutes). Neither macroscopic nor microscopic traumatization of the gallbladder was observed. The procedure described in this paper opens up a diagnostic and therapeutic approach to the gallbladder.

Adult↗
PubMed1988

Laserlithotripsy of common bile duct stones.

Endoscopic retrograde laser lithotripsy of common bile duct stones is a new technique which can be carried out through the endoscope without anaesthesia using ordinary endoscopic equipment. In the method described here a flashlamp pulsed Neodymium YAG laser (wave length 1064 nm) was used. Light energy was transmitted along a highly flexible quartz fibre with a diameter of 0.2 mm. This new technique was used in nine patients with concrements in the common bile duct, which could not be removed with the established endoscopic techniques. In eight of the nine the concrements (maximum diameter 4.7 x 3.1 cm) could be fragmented and in six the fragments could be extracted from the common bile duct. The total energy required was 80-300 J; complications were not observed.

Aged↗
PubMed1987

Laser therapy of tumor stenoses in the upper gastrointestinal tract: an international inquiry.

The results of an international inquiry on palliative laser therapy of malignant inoperable stenoses in the upper gastrointestinal tract are reported. The results of the treatment of a total of 1,359 patients were collected. The data from laser users with experience in more than 50 treated patients (n = 1,184) were analyzed; 68.9% of the tumor stenoses were located in the esophagus, and 55.7% were not passable with the endoscope. The initial treatment was successful in 83.0% and the complication rate was 4.1% (49 of 1,184 patients). The mortality rate was 1.0% (12 of 1,184 patients).

Constriction, Pathologic↗
PubMed1986

Laser-resistant guide probe for laser treatment of endoscopically impassable tumour stenoses.

A laser-resistant guide probe that can be placed endoscopically, for use in the laser treatment of impassable tumour stenosis is described. It meets the necessary requirements such as low level of absorption of YAG laser light (1,064 nm wavelength), high thermal stability and low heat conduction. So far, the probe has been used complication-free, in four patients.

Esophageal Stenosis↗