Cited 3 times since 1994 (0.1 per year) source: EuropePMC Surgical endoscopy, Volume 8, Issue 11, 1 1 1994, Pages 1335-1337 Liver fibrosis after extracorporeal shock-wave lithotripsy of gallbladder stones. A case report. Plaisier PW, Hamming JF, van der Hul RL, den Toom R, Bruining HA
We encountered significant liver fibrosis in a healthy young patient undergoing laparoscopic cholecystectomy for symptomatic gallstone disease. Twelve months prior to cholecystectomy the patient underwent multiple extracorporeal shock-wave lithotripsy (ESWL) sessions with adjuvant oral bile-acid therapy. Since the site of fibrosis corresponded clearly to the shock-wave transmission path, which was in accordance with animal studies, it was concluded that this liver fibrosis was a side effect of biliary ESWL. Based on these findings and the literature, we conclude that further assessment of the long-term safety of ESWL is still warranted, especially in patients undergoing multiple ESWL sessions.
