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A new technique for the rapid dissolution of retained ductal gallstones with monooctanoin in t tube patients



A new technique for the rapid dissolution of retained ductal gallstones with monooctanoin in t tube patients



American Surgeon 58(2): 141-145



Retained gallstones in the biliary ducts have been therapeutically managed with monoctanion (Moctanin; Ethitek Pharmaceuticals Company, Skokie, IL) since Food and Drug administration approval in 1985. The clinical usefulness of monoctanion therapy has previously been regarded by some investigators as limited because of the length of time required to achieve complete dissolution (2 to 10 days) and less than optimal results (50% to 86% efficacy). Here, the authors describe a safe technique for the rapid dissolution of retained stones that they have used successfully in four patients. This technique eliminates the need for pressure monitoring in the T-tube patient and is suitable for short-stay hospitalization. Representative case histories are presented.

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Accession: 006955166

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PMID: 1550307


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