[Extracorporeal shockwave lithotripsy of gallbladder calculi].
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.
Greiner
L
L
Medizinische Klinik A, Universität Witten-Herdecke.
Jakobeit
C
C
Schumacher
R
R
Johanns
W
W
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
D002635:Chenodeoxycholic Acid; D014580:Ursodeoxycholic Acid
Extrakorporale Stosswellenlithotripsie von Gallenblasensteinen.