Shock-wave therapy of gastric outlet syndrome caused by a gallstone.
A patient with gastric outlet syndrome (Bouveret's syndrome) caused by a large gallstone impacted in the duodenal bulb was successfully treated by extracorporeal shock-wave lithotripsy. Thus, open abdominal surgery could be avoided. For disintegration of the stone, three consecutive lithotripsy procedures were necessary. Thereafter, stone fragments could be extracted endoscopically. Extracorporeal shock-wave lithotripsy could become a non-surgical alternative in patients with obstruction of the duodenum caused by a gallstone.
Holl
J
J
Department of Medicine II, University of Munich, Federal Republic of Germany.
Sackmann
M
M
Hoffmann
R
R
Schüssler
P
P
Sauerbruch
T
T
Jüngst
D
D
Paumgartner
G
G
D000368:Aged; D002769:Cholelithiasis / Q000150:complications* / Q000628:therapy; D004380:Duodenal Obstruction / Q000209:etiology*; D006801:Humans; D008096:Lithotripsy; D008297:Male; D013577:Syndrome