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Patient education: Lithotripsy of bile or pancreatic duct stones – Discharge instructions (The Basics)

Patient education: Lithotripsy of bile or pancreatic duct stones – Discharge instructions (The Basics)

What is lithotripsy? — This is a procedure to break up large or complex stones into smaller pieces.

Lithotripsy can be done in different ways. The doctor uses a special tool or shock waves from electricity or a laser to break up the stones. Then, the doctor uses an "endoscope" to help remove the stone fragments. An endoscope is a thin, flexible tube with a camera on the end.

How do I care for myself at home? — Ask the doctor or nurse what you should do when you go home. Make sure that you understand exactly what you need to do to care for yourself. Ask questions if there is anything you do not understand.

For the first 24 hours:

Do not drive or operate heavy or dangerous machinery.

Do not make any important decisions or sign any important papers.

Do not drink alcohol of any kind.

You should also:

Take all of your medicines as instructed. The doctor might prescribe medicines to help prevent other stones from forming.

What follow-up care do I need? — The doctor will want to see you again after your procedure to check on your progress. Go to these appointments.

If you had a stent placed, you will need to have another procedure to remove it.

When should I call the doctor? — Call for advice if:

You have signs of an infection. These included a fever or 100.4°F (38°C) or higher, chills, or new or worsening abdominal pain.

You are in a lot of pain, even when taking pain medicines.

You have very bad belly or back pain.

You have very bad nausea, vomiting, or diarrhea.

You have swelling of the stomach.

You vomit blood or something that looks like coffee grounds.

You have bowel movements that look dark black or tarry.

Your skin or the whites of your eyes become yellow.

More on this topic

Patient education: Lithotripsy of bile or pancreatic duct stones (The Basics)
Patient education: Gallstones (The Basics)
Patient education: Acute pancreatitis (The Basics)
Patient education: Endoscopic retrograde cholangiopancreatography (ERCP) (The Basics)

Patient education: Gallstones (Beyond the Basics)
Patient education: Acute pancreatitis (Beyond the Basics)
Patient education: Chronic pancreatitis (Beyond the Basics)
Patient education: ERCP (endoscopic retrograde cholangiopancreatography) (Beyond the Basics)

This topic retrieved from UpToDate on: Feb 02, 2024.
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