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Bile duct stones that can't be removed by conventional means can often be removed after fragmentation by shock waves (lithotripsy). The shock waves that are used for fragmentation of these stones are generated by electric sparks (electrohydraulic lithotripsy) or laser (laser lithotripsy). Although both techniques have been used for many years, there are no studies comparing the efficacy of the two. The purpose of this study is to find out which technique is more effective.
Procedures will be considered standard of care; patients or insurance companies will be billed as it is standard of care.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Electrohydraulic lithotripsy | Experimental | Electrohydraulic lithotripsy: Lithotripsy will be performed using electrohydraulic method |
|
| Laser Lithotripsy | Experimental | Laser Lithotripsy: Lithotripsy will be performed using laser method |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Laser Lithotripsy | Procedure | Laser Lithotripsy |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Time | Identify which technique takes less time to completion. | Procudre duration |
| Measure | Description | Time Frame |
|---|---|---|
| Number of shocks | Comparsion between procudures of the number of shocks to fragment stones | Procedure duration |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mansour A. Parsi, MD | The Cleveland Clinic | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cleveland Clinic | Cleveland | Ohio | 44195 | United States |
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| ID | Term |
|---|---|
| D042882 | Gallstones |
| D041761 | Cholecystolithiasis |
| ID | Term |
|---|---|
| D002769 | Cholelithiasis |
| D001660 | Biliary Tract Diseases |
| D004066 | Digestive System Diseases |
| D005705 | Gallbladder Diseases |
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| ID | Term |
|---|---|
| D017602 | Lithotripsy, Laser |
| D008096 | Lithotripsy |
| ID | Term |
|---|---|
| D053685 | Laser Therapy |
| D013812 | Therapeutics |
| D055011 | Ablation Techniques |
| D013514 | Surgical Procedures, Operative |
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| Electrohydraulic Lithotripsy | Procedure | Electrohydraulic Lithotripsy |
|
| D002137 |
| Calculi |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D059708 |
| Ultrasonic Surgical Procedures |