title: Shock-wave therapy of gastric outlet syndrome caused by a gallstone.
abstract: 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.
authors.affiliation: Department of Medicine II, University of Munich, Federal Republic of Germany.
authors.forename: J
authors.initials: J
authors.lastname: Holl
authors.forename: M
authors.initials: M
authors.lastname: Sackmann
authors.forename: R
authors.initials: R
authors.lastname: Hoffmann
authors.forename: P
authors.initials: P
authors.lastname: Schüssler
authors.forename: T
authors.initials: T
authors.lastname: Sauerbruch
authors.forename: D
authors.initials: D
authors.lastname: Jüngst
authors.forename: G
authors.initials: G
authors.lastname: Paumgartner
mesh_terms: D000368:Aged; D002769:Cholelithiasis / Q000150:complications* / Q000628:therapy; D004380:Duodenal Obstruction / Q000209:etiology*; D006801:Humans; D008096:Lithotripsy; D008297:Male; D013577:Syndrome