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- $Unique_ID{BRK00747}
- $Pretitle{}
- $Title{Is There Anyway to Dissolve Gall Stones?}
- $Subject{special procedure procedures gall stone stones cholecystectomy
- cholesterol ursodeoxycholic acid URSO bile acid Actigall medication
- medications surgeries operation operations surgery surgical lithotripsy sound
- shock waves gallstone gallstones}
- $Volume{P-9,R-9}
- $Log{}
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- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- Is There Anyway to Dissolve Gall Stones?
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- QUESTION: My husband was rushed to the hospital with what we thought was a
- heart attack. After undergoing all the tests we were told that he had a gall
- bladder attack. Is there anyway to dissolve gall stones, or is the only cure
- an operation to remove the gall bladder? Our doctor tells us that surgery
- isn't necessary.
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- ANSWER: Your doctor is very much up to date in suggesting an alternative
- therapy to surgery. Until just recently, cholecystectomy (surgical removal of
- the gall bladder) was the only choice and more than a half million operations
- were performed each year. But if the gallstones are composed of cholesterol,
- without calcifications, they may be dissolved by a medication that was
- recently approved called ursodeoxycholic acid (URSO). URSO is a naturally
- occurring bile acid, which is found in small amounts in human bile, but is now
- marketed in the United States under the brand name of Actigall. This
- treatment may be used in nonemergency patients who do not desire surgery, or
- who may be at high risk as a surgical patient. The medication can dissolve
- small stones (less than 20 mm in diameter) in from 30% to 80% of patients, but
- may take from 6-24 months to do so. When there is some reduction in size
- after 6 months, it is likely that the entire stone can be dissolved by
- continuing the treatment. The medication is taken orally in capsule form
- twice a day. Another technique still under investigation is called
- lithotripsy, a process which uses sound shock waves to fragment the stones
- into smaller pieces, followed by the oral medication to complete the process.
- While you are making your decision, keep your husband away from fatty foods,
- which can reduce the chances of recurrence of another painful attack.
-
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- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-