title: Biliary stones: treatment by shock-wave lithotripsy.
abstract: Extracorporeal shock-wave lithotripsy has been introduced as a novel nonsurgical therapy for gallstone disease. To substantiate the initial results, more than 400 patients with biliary calculi have been treated. In selected patients with gallbladder stones, complete clearance of all stone fragments can be expected within 1 year in about 80%. In patients with bile-duct stones not amenable to endoscopic measures, sufficient stone fragmentation by extracorporeal shock waves was achieved in about 80%. Extracorporeal shock-wave lithotripsy is a safe and efficient therapy for selected patients with gallbladder calculi. For patients with bile-duct stones not amenable to endoscopic measures it offers a nonsurgical alternative.
authors.affiliation: Medizinische Klinik II, Ludwig-Maximilians-Universität, München, Federal Republic of Germany.
authors.forename: M
authors.initials: M
authors.lastname: Sackmann
authors.forename: T
authors.initials: T
authors.lastname: Sauerbruch
authors.forename: M
authors.initials: M
authors.lastname: Delius
authors.forename: J
authors.initials: J
authors.lastname: Holl
authors.forename: W
authors.initials: W
authors.lastname: Brendel
authors.forename: G
authors.initials: G
authors.lastname: Paumgartner
mesh_terms: D002635:Chenodeoxycholic Acid / Q000627:therapeutic use; D002769:Cholelithiasis / Q000188:drug therapy / Q000628:therapy*; D003131:Combined Modality Therapy; D004724:Endoscopy; D006801:Humans; D008096:Lithotripsy / Q000009:adverse effects / Q000379:methods*; D014580:Ursodeoxycholic Acid / Q000627:therapeutic use
chemical_list: D002635:Chenodeoxycholic Acid; D014580:Ursodeoxycholic Acid