Shock-Wave Lithotripsy of Gallbladder Stones

Authors:
  • MDMichael Delius
    Michael Delius
  • TSTilman Sauerbruch
    Tilman Sauerbruch
  • JHJoseph Holl
    Joseph Holl
  • WWWerner Weber
    Werner Weber
  • EIErnst Ippisch
    Ernst Ippisch
  • UHUlrich Hagelauer
    Ulrich Hagelauer
  • OWOthmar Wess
    Othmar Wess
  • WHWolfgang Hepp
    Wolfgang Hepp
  • WBWalter Brendel
    Walter Brendel
  • GPGustav Paumgartner
    Gustav Paumgartner
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Abstract
To substantiate the early results of extracorporeal shock-wave fragmentation of gallstones, we used this nonsurgical procedure to treat 175 patients with radiolucent gallbladder calculi. Chenodeoxycholic acid and ursodeoxycholic acid were administered as adjuvant litholytic therapy. The gallstones disintegrated in all patients except one and completely disappeared in 30 percent of all patients within 2 months after lithotripsy, in 48 percent at 2 to 4 months, in 63 percent at 4 to 8 months, in 78 percent at 8 to 12 months, and in 91 percent at 12 to 18 months. In patients with solitary stones up to 20 mm in diameter, the corresponding values were 45, 69, 78, 86, and 95 percent, respectively.

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