{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T22:59:36Z","timestamp":1765666776824,"version":"3.48.0"},"reference-count":13,"publisher":"BMJ","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gut"],"published-print":{"date-parts":[[1990,2]]},"abstract":"<jats:p>Electromagnetically generated extracorporeal shock waves (without waterbath) were applied after intravenous premedication with 10-15 mg diazepam and 100 mg tramadol in the treatment of 33 patients (aged 32 to 91 years) with multiple intrahepatic stones (n = 4) or huge common bile duct stones (n = 29, 18-30 mm in diameter), which could not be removed by conventional endoscopy. Stone disintegration was achieved in 70% of common bile duct stones and in all intrahepatic concrements after 800-7500 discharges, which were applied during one (n = 21), two (n = 6) or three sessions (n = 6). Apart from mild fleabite-like petechiae at the side of shock wave transmission no other side effects were observed for a total of 51 procedures. We believe electromagnetically generated shock waves are safe, easy to apply, and relatively effective in the therapy of common bile duct and intrahepatic stones.<\/jats:p>","DOI":"10.1136\/gut.31.2.222","type":"journal-article","created":{"date-parts":[[2007,9,18]],"date-time":"2007-09-18T17:41:31Z","timestamp":1190137291000},"page":"222-225","source":"Crossref","is-referenced-by-count":33,"title":["Electromagnetically generated extracorporeal shockwaves for fragmentation of extra-and intrahepatic bile duct stones: indications, success and problems during a 15 months clinical experience."],"prefix":"10.1136","volume":"31","author":[{"given":"M","family":"Staritz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Rambow","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Grosse","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Hurst","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Floth","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Mildenberger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Goebel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T","family":"Junginger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Hohenfellner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Thelen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1990,2,1]]},"reference":[{"key":"ref_1","first-page":"1265","article-title":"Extracorporeallv induced destruction of kidney stones by shock waves","volume":"ii:","author":"Chausy, C.; Brendel, W.; Schmiedt, E.","year":"1980","unstructured":"Chausy C, Brendel W, Schmiedt E. Extracorporeallv induced destruction of kidney stones by shock waves. Lancet 1980; ii: 1265-68.","journal-title":"Lancet"},{"key":"ref_2","first-page":"877","article-title":"The randomised controlled trial for the evaluation of new technology: a case study","volume":"292","author":"Challah, S.; Mavs, N.B.","year":"1986","unstructured":"Challah S, Mavs NB. The randomised controlled trial for the evaluation of new technology: a case study. Br Med]7 1986; 292: 877-9."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"818","DOI":"10.1056\/NEJM198603273141304","article-title":"Fragmentation of gallstones bv extracorporeal shock waves","volume":"314","author":"Sauerbruch, T.; Delius, M.; Paumgartner, G.","year":"1986","unstructured":"Sauerbruch T, Delius M, Paumgartner G, et al. Fragmentation of gallstones bv extracorporeal shock waves. 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EI.r (C,lin Invest 1989; 19: 142-5."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1807","DOI":"10.1016\/0016-5085(85)90004-6","article-title":"Meyer zum B0schenfelde KH. Endoscopic removal of common bile duct stones through the intact papilla following medical sphincter dilation","volume":"88","author":"Staritz, M.; Poralla, T.; Dormeyer, H.H.","year":"1985","unstructured":"Staritz M, Poralla T, Dormeyer HH, Meyer zum B0schenfelde KH. Endoscopic removal of common bile duct stones through the intact papilla following medical sphincter dilation. Gastroenterolgv 1985; 88: 1807-1 1.","journal-title":"Gastroenterolgv"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1055\/s-2007-1021591","article-title":"A mechanical lithotripter","volume":"14","author":"Demling, L.; Seuberth, K.; Riemann, J.F.","year":"1982","unstructured":"Demling L, Seuberth K, Riemann JF. A mechanical lithotripter. 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