title: [Extracorporeal shock wave lithotripsy in patients with bile duct calculi].
abstract: 21 patients with choledocholithiasis, in whom methods such as endoscopy or mechanical lithotripsy were unsuccessful, extracorporeal shock wave lithotripsy was performed. Fragmentation could be achieved in 90%, complete stone clearance after endoscopic stone extraction occurred in 76%. Extracorporeal shock wave lithotripsy has proven highly effective with a low complication rate and zero lethality. Therefore, its role in the management of gall stone disease in the elderly patient at high perioperative risk cannot be overemphasized.
authors.affiliation: Medizinische Klinik und Poliklinik, Universität Ulm.
authors.forename: J
authors.initials: J
authors.lastname: Tudyka
authors.forename: J G
authors.initials: JG
authors.lastname: Wechsler
authors.forename: W
authors.initials: W
authors.lastname: Kratzer
authors.forename: P
authors.initials: P
authors.lastname: Janowitz
authors.forename: E F
authors.initials: EF
authors.lastname: Stange
authors.forename: W
authors.initials: W
authors.lastname: Zemmler
authors.forename: H
authors.initials: H
authors.lastname: Ditschuneit
mesh_terms: D000368:Aged; D002760:Cholangiopancreatography, Endoscopic Retrograde; D004867:Equipment Design; D005260:Female; D042882:Gallstones / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D008096:Lithotripsy / Q000295:instrumentation*; D008111:Liver Function Tests; D008297:Male; D014463:Ultrasonography
vernacular_title: Extrakorporale Stosswellenlithotripsie bei Patienten mit Gallengangsteinen.