title: [Extracorporeal shockwave lithotripsy of gallbladder calculi].
abstract: Shockwave disintegration of gallbladder stones with lythic therapy of residual fragments is successful when all criteria of patient- and stone-selection, shockwave application and lysis are fulfilled. The "Four-S-stones" proved to be the best candidates: solitary, symptomatic, sonolucent in a sufficiently contractile gallbladder. The rate of complications is low. Stone recurrence rate (10 to 15% after three years) is much lower as in previous studies using lythic therapy only. The new therapeutic approach to gallbladder stone disease with fragmentation, spontaneous fragment-clearance and lysis of residual fragments is--as the only truly non-invasive procedure--for 10 to 20% of the patients an alternative equal to operation.
authors.affiliation: Medizinische Klinik A, Universität Witten-Herdecke.
authors.forename: L
authors.initials: L
authors.lastname: Greiner
authors.forename: C
authors.initials: C
authors.lastname: Jakobeit
authors.forename: R
authors.initials: R
authors.lastname: Schumacher
authors.forename: W
authors.initials: W
authors.lastname: Johanns
mesh_terms: D002635:Chenodeoxycholic Acid / Q000008:administration & dosage; D002769:Cholelithiasis / Q000000981:diagnostic imaging / Q000628:therapy*; D003131:Combined Modality Therapy; D005500:Follow-Up Studies; D006801:Humans; D008096:Lithotripsy; D012008:Recurrence; D014463:Ultrasonography; D014580:Ursodeoxycholic Acid / Q000008:administration & dosage
chemical_list: D002635:Chenodeoxycholic Acid; D014580:Ursodeoxycholic Acid
vernacular_title: Extrakorporale Stosswellenlithotripsie von Gallenblasensteinen.