Extracorporeal shock-wave lithotripsy of pancreatic calculi

Delhaye, Myriam; Vandermeeren, Alain; Baize, Michel; Cremer, Michel

doi:10.1016/0016-5085(92)90110-k

Cited by 295 publications

(168 citation statements)

References 44 publications

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“…Our complication rate was low, which is similar to results from other groups (18,19,(21)(22)(23)(24)(26)(27)(28)(29). In close temporal association with ESWL we observed mainly mild episodes of pancreatitis.…”

Section: Discussionsupporting

confidence: 91%

“…Results equivalent to or better than those discussed have been reported by others (18,19,21,22,26,27) using electrohydraulic or electromagnetic lithotripters with radiographic stone location. Three groups used ultrasonography alone (28,29) or in combination with radiography (24) for targetting pancreatic ductal concrements; freedom from stones and complete freedom from pain were achieved in up to 70% of patients.…”

Section: Discussionsupporting

confidence: 71%

“…Endoscopic procedures involving division of the pancreatic sphincter and extraction of ductal stones are often unsuccessful due to the incongruity between the size of the stone and the anatomy of the pancreatic duct. Stone fragmentation by ESWL permits clearance of the duct by spontaneous passage or endoscopic extraction of stone fragments (11,12,(17)(18)(19)(20)(21)(22)(23)(24).…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Ultrasound-Guided Extracorporeal Shock Wave Lithotripsy of Pancreatic Ductal Stones: Six Years’ Experience

Johanns¹,

Jakobeit²,

Greiner³

et al. 1996

Canadian Journal of Gastroenterology

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Extracorporeal shock wave lithotripsy (ESWL) and endoscopic sphincterotomy (EST) was performed in 35 patients suffering from pancreatic duct stones. Calculi disintegration and resolution of obstruction were achieved in all cases. Completely stone-free ducts were achieved in 16 patients (46%) while some peripheral asymptomatic stone material remained in 19 (54%). Dilation of the main pancreatic duct was reduced in 29 patients (83%). Twelve patients (34%) became completely asymptomatic and 17 (49%) reported a marked reduction of pain. Pancreatogenic steatorrhea ceased and 18 patients (51%) gained weight. Pathological glucose tolerance returned to normal in one patient. No major complications were observed. The combination of ESWL and EST is a successful, nonoperative, new treatment in pancreatic stone disease.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 71%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Ultrasound-Guided Extracorporeal Shock Wave Lithotripsy of Pancreatic Ductal Stones: Six Years’ Experience

Johanns¹,

Jakobeit²,

Greiner³

et al. 1996

Canadian Journal of Gastroenterology

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“…Excretion rate and symptom disappearance rate results at our hospital were similar but recurrence rate was significantly lower at 5.6%, considered to be an effect of combined EPDBD therapy [13][14][15][16][17][18][19][20][21]. However, some limitation is that the effect is not permanent; negative effects on the pancreatic duct and parenchyma is unknown; not knowing how much air pressure and time is best; and not having specialized tools available [22][23][24][25][26][27][28][29].…”

Section: Discussionmentioning

confidence: 94%

Usefulness and safety of Endoscopic Pancreatic Duct Balloon Dilation（EPDBD）for treatment of pancreatic diseases- pancreatic stone, divisum and pseudocyst

Tsuji¹,

Nyuhzuki²,

Son³

et al. 2017

Liver Pancreat Sci

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In the 20 years after introducing our original technique-EPDBD (Endoscopic Pancreatic Duct Balloon Dilation) in 1996, we treated 599 cases of pancreas stone, pseudocyst and divisum cases at our hospital by this method. With this procedure, pancreatic stone recurrence rate dropped remarkably, and the success rate of endoscopic pseudocyst and divisum treatments rose dramatically. Complications were moderate pain and light bleeding from the orifice at the time of treatment and slight pancreatitis for several days. This method is very useful and safe, and shows big possibilities for endoscopic treatment of pancreatic diseases.

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“…ESWL overcomes the problem of the stone size by fragmenting the stones, thus facilitating endoscopic clearance of the duct. ESWL is required in 36−68% of patients and successful rates of stone clearance of the main pancreatic duct ranged from 37% to 100% [115,120,173,[179][180][181][182][183][184][185][186][187]. Use of ultrasound instead of x-rays to locate pancreatic stones is associated with a lower fragmentation rate [188,189].…”

Section: E3: Is Endoscopic Therapy Indicated In Chronic Pancreatitismentioning

confidence: 99%

Italian consensus guidelines for chronic pancreatitis

Frulloni

Falconi

Gabbrielli

et al. 2010

Digestive and Liver Disease

166

112

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This paper gives practical guidelines for diagnosis and treatment of chronic pancreatitis. Statements have been elaborated by working teams of experts, by searching for and analysing the literature, and submitted to a consensus process by using a Delphi modified procedure. The statements report recommendations on clinical and nutritional approach, assessment of pancreatic function, treatment of exocrine pancreatic failure and of secondary diabetes, treatment of pain and prevention of painful relapses. Moreover, the role of endoscopy in approaching pancreatic pain, pancreatic stones, duct narrowing and dilation, and complications was considered. Recommendations for most appropriate use of various imaging techniques and of ultrasound endoscopy are reported. Finally, a group of recommendations are addressed to the surgical treatment, with definition of right indications, timing, most appropriate procedures and techniques in different clinical conditions and targets, and clinical and functional outcomes following surgery. © 2010 Editrice Gastroenterologica Italiana S.r.l

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Extracorporeal shock-wave lithotripsy of pancreatic calculi

Cited by 295 publications

References 44 publications

Ultrasound-Guided Extracorporeal Shock Wave Lithotripsy of Pancreatic Ductal Stones: Six Years’ Experience

Ultrasound-Guided Extracorporeal Shock Wave Lithotripsy of Pancreatic Ductal Stones: Six Years’ Experience

Usefulness and safety of Endoscopic Pancreatic Duct Balloon Dilation（EPDBD）for treatment of pancreatic diseases- pancreatic stone, divisum and pseudocyst

Italian consensus guidelines for chronic pancreatitis

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