Holl, J. and Sackmann, M. and Hoffmann, R. and Schüssler, P. and Sauerbruch, Tilman
Shock-wave therapy of gastric outlet syndrome caused by a gallstone.
In: Gastroenterology, Vol. 97, No. 2: pp. 472-474
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.