[Percutaneous transhepatic lysis of gallstones using methyl tert-butyl ether. Report on 15 patients]

Dtsch Med Wochenschr. 1988 Mar 31;113(13):506-10. doi: 10.1055/s-2008-1067672.
[Article in German]

Abstract

In 15 patients (13 women and two men) with cholesterol stones in the gall-bladder a special (Thistle) catheter was introduced into the gall-bladder under local anaesthesia by percutaneous transhepatic puncture. Methyl-tert-butyl ether, 2-15 ml, was injected via the catheter and removed again after 2 min. The number of stones per gall-bladder averaged 6.3 (1-20), size of stones 1.7 cm (0.5-2.8 cm), and duration of treatment 11.9 h (5-24 h). The stones dissolved in 13 patients (87%). In three patients stone débris remained: in one it was ultimately sucked out after reduction of the amount of débris with an EDTA-containing solution. The side effects of treatment--nausea and vomiting--were minor. In one patient there was a leak of bile from the gall-bladder after the procedure; a cholecystectomy was uneventfully performed. Another patient developed haemobilia which responded to conservative treatment. MTBE treatment has thus proved to be a successful and cheap method, low in side effects, in the treatment of patients with gall-stones.

Publication types

  • English Abstract

MeSH terms

  • Adult
  • Aged
  • Catheterization
  • Cholelithiasis / drug therapy*
  • Ethers / administration & dosage*
  • Female
  • Humans
  • Male
  • Methyl Ethers*
  • Middle Aged
  • Solvents / administration & dosage*

Substances

  • Ethers
  • Methyl Ethers
  • Solvents
  • methyl tert-butyl ether