Rôle respectif de la taille, de la localisation et de la composition du calcul en tant que déterminant du succès thérapeutique après lithotritie par ondes de choc extracorporelles dans la lithiase rénale [Respective role of the size, location and composition of the calculus as determinants of therapeutic success after extracorporeal shock wave lithotripsy in renal lithiasis].

Details

Serval ID
serval:BIB_BF73FA59F2C1
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Rôle respectif de la taille, de la localisation et de la composition du calcul en tant que déterminant du succès thérapeutique après lithotritie par ondes de choc extracorporelles dans la lithiase rénale [Respective role of the size, location and composition of the calculus as determinants of therapeutic success after extracorporeal shock wave lithotripsy in renal lithiasis].
Journal
Néphrologie
Author(s)
Ginalski J.M., Deslarzes C., Asper R., Jichlinski P., Jaeger P.
ISSN
0250-4960 (Print)
ISSN-L
0250-4960
Publication state
Published
Issued date
1992
Volume
13
Number
2
Pages
83-86
Language
french
Notes
Publication types: English Abstract ; Journal Article
Publication Status: ppublish
Abstract
We evaluated the respective role of size, location and composition of renal stones as determinants of the outcome of extracorporeal shock wave lithotripsy (ESWL). The analysis of the chemical composition and of the morphology of the fragments eliminated by hundred patients who underwent ESWL has been made by X-rays diffraction. Results showed that the larger the stone, the higher the risk of having to perform an extra intervention (additional sessions of ESWL, percutaneous nephrostolithotomy, nephrolitholapaxy) or of finding residual fragments at the three month check-point. In addition, the location of the stone in a calice, especially a lower calice, strongly predisposes to incomplete elimination of the fragments. Finally, two types of stones appear to lessen the probability of success of ESWL: those of struvite and those of cystine. Indeed, out of eleven ESWL performed on struvite stones (pure or mixed), two had to be completed by percutaneous nephrolitholapaxy and even one by a nephrectomy because of superinfection. Out of the four patients with cystine stones, two had to be treated by additional percutaneous nephrolitholapaxy because of inadequate fragmentation after ESWL. However, for the remaining types of stones (pure or mixed) chemical composition seems to be less important than size or location.
Keywords
Cystine/analysis, Female, Humans, Kidney Calculi/chemistry, Kidney Calculi/therapy, Lithotripsy, Magnesium/analysis, Magnesium Compounds, Male, Middle Aged, Phosphates/analysis, X-Ray Diffraction
Pubmed
Web of science
Create date
24/01/2008 16:09
Last modification date
20/08/2019 15:33
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