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Shock-wave therapy of gastric outlet syndrome caused by a gallstone
J Holl1, M Sackmann, R Hoffmann
1Department of Medicine II, University of Munich, Federal Republic of Germany.
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.
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