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Holl, J.; Sackmann, M.; Hoffmann, R.; Schüssler, P. and Sauerbruch, Tilman (1989): Shock-wave therapy of gastric outlet syndrome caused by a gallstone. In: Gastroenterology, Vol. 97, No. 2: pp. 472-474 [PDF, 2MB]

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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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