External shock wave gallstone crushing

Gallbladder stones are a common disease in Hungary. The prevalence is 25-30%, with a female to male ratio of 3:1 and 4:1 respectively. When gallstones do "speak", they are associated with severe, very intense spasmodic pain (gallstone colic). The fossil, which is irreversibly damaging to the gallbladder, poses a permanent threat to its owner. The patient's gallbladder, including its stones, is not needed. The solution is surgical. Today in Hungary, in more than 90% of cases, this means laparoscopic removal. The number of surgical gallbladder removals exceeds 25,000 per year.
It has been shown that ESWL, in combination with indirect dissolution treatment (Ursofalk), can significantly reduce the time to stone clearance.
Factors determining the effectiveness of treatment:
- gallbladder: size, fluid content, wall quality, function;
- gallstones: number, size, quality;
- frequency and intensity of the shock wave;
- duration of treatment;
- the targeting of equipment.

Indications for ESWL therapy of gallbladder fatty liver disease according to the classical "Munich criteria":
- gallbladder fatty degeneration causing complaints;
- a well-functioning gallbladder;
- maximum 3-5 stones;
- cholesterol stones (60-75 percent of gallbladder stones);
- the size of the stone is between 5 mm and 3 cm;
- bilestones that do not contain "calcium" (CaCO3);
- cooperation from the patient before, during and after treatment.