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Stoßwellenlithotripsie bei Gallenblasen- und Gallengangssteinen: Indikationen und Ergebnisse

Extracorporeal Shock-Wave Lithotripsy of Gallbladder Stones

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Deutsche Gesellschaft für Chirurgie

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Summary

Extracorporeal shock-wave lithotripsy combined with adjuvant litholytic therapy (ursodeoxycholic acid and chenodeoxycholic acid) is a relatively safe and effective noninvasive therapy for selected patients with symptomatic radiolucent gallbladder stones. The best results (80% stone-free patients within 1 year) are obtained with radio-lucent solitary stones with a diameter of less than 20 mm. Shock-wave lithotripsy achieves rapid clearance of stones in about 80% of patients with bile duct calculi in whom endoscopic procedures fail.

Zusammenfassung

Für streng ausgewählte Patienten mit symptomatischen röntgen-negativen Gallenblasensteinen stellt die extrakorporale Stoßwellenlithotripsie kombiniert mit adjuvanter Litholyse (Ursodeoxycholsäure und Chenodeoxycholsäure) eine relativ gefahrlose und wirksame nicht-invasive Therapie dar. Die besten Ergebnisse (80% steinfreie Patienten nach 1 Jahr) werden bei röntgennegativen Solitärsteinen mit einem Durchmesser von weniger als 20 mm erzielt. Bei Gallengangssteinen, die endoskopisch nicht entfernt werden können, führt die Stoßwellentherapie bei etwa 80% der Patienten zu rascher Steinfreiheit.

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Literatur

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Author information

Authors and Affiliations

  1. Medizinische Klinik II, Klinikum Großhadern der Universität München, Marchioninistr. 15, D-8000, München 70, Deutschland

    G. Paumgartner

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  1. G. Paumgartner
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Editor information

Editors and Affiliations

  1. Generalsekretär d. Deutschen Gesellschaft f. Chirurgie, Steinbacher Hohl 28, D-6000, Frankfurt a.M. 90, Deutschland

    E. Ungeheuer

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© 1990 Springer-Verlag Berlin Heidelberg

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Paumgartner, G. (1990). Stoßwellenlithotripsie bei Gallenblasen- und Gallengangssteinen: Indikationen und Ergebnisse. In: Ungeheuer, E. (eds) Deutsche Gesellschaft für Chirurgie. Langenbecks Archiv für Chirurgie Gegründet 1860 Kongreßorgan der Deutschen Gesellschaft für Chirurgie, vol 1990. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-48163-5_258

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  • DOI: https://doi.org/10.1007/978-3-642-48163-5_258

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-52926-2

  • Online ISBN: 978-3-642-48163-5

  • eBook Packages: Springer Book Archive

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