Japanese guidelines for the endoscopic management of pancreatic stone

Inui, Kentaro; Igarashi, Yoshinori; Irisawa, Atushi; Ohara, Hirotaka; Tazuma, Susumu; Hirooka, Yoshiki; Fujita, Naotaka; Miyakawa, Hiroyoshi; Sata, Naohiro; Shimosegawa, Tooru

doi:10.2958/suizo.25.553

Cited by 3 publications

(1 citation statement)

References 59 publications

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“…The indications for ESWL were determined according to the clinical practice guidelines for CP of the Japanese Society of Gastroenterology (13). Before ESWL, endoscopic ret-rograde pancreatography was first performed to evaluate pancreatolithiasis and stenosis, and endoscopic nasopancreatic drainage placement was performed when possible.…”

Section: Treatment Proceduresmentioning

confidence: 99%

The Visceral-to-subcutaneous Adipose Tissue Area Ratio Is Associated with Retreatment in Chronic Pancreatitis Patients with Pancreatolithiasis after Extracorporeal Shock Wave Lithotripsy

et al. 2022

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Objective Extracorporeal shock wave lithotripsy (ESWL) has been used to treat pancreatolithiasis in patients with chronic pancreatitis (CP), but the high recurrence rate remains challenging. We therefore evaluated the association between body composition parameters and the prediction of retreatment after ESWL. Methods This study retrospectively evaluated 42 patients with CP who had been treated with ESWL between 2008 and 2019 in a single center. Body composition parameters were measured on pretreatment computed tomography images. Patients who underwent repeat ESWL were classified as the retreatment group. Results There were 13 (31.0%) and 29 (69.0%) patients in the retreatment and non-retreatment groups, respectively. The visceral-to-subcutaneous adipose tissue area ratio (VSR) of the retreatment group was significantly lower than that of the non-retreatment group (p=0.016). When divided by the median VSR, 10 of the 20 patients with a VSR of <0.85 underwent retreatment, whereas 3 of the 22 patients with a VSR of ! 0.85 underwent retreatment (p=0.019). According to a multivariate analysis, the VSR (p=0.010) and age (p=0.037) were independent factors associated with retreatment after ESWL. Conclusion This study showed that the VSR can predict the retreatment of patients with CP after ESWL.

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Section: Treatment Proceduresmentioning

confidence: 99%