Pancreatoscopy-guided intracorporeal laser lithotripsy for difficult pancreatic duct stones: a case series with prospective follow-up (with video)

Alatawi, Abdullah; Leblanc, Sarah; Vienne, Ariane; Praticò, Carlos Alberto; Gaudric, M; Duchmann, Jean-Christophe; Boyer, J.; Mangialavori, Luigi; Chaussade, Stanislas; Prat, Frédéric

doi:10.1016/j.gie.2013.02.015

Cited by 23 publications

(17 citation statements)

References 9 publications

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“…Of these, 10 relevant publications meeting the inclusion criteria were identified. There were only two prospective series, six retrospective trials and two case reports including 87 patients altogether (Table ) . Only one trial consisted of more than 10 patients, prospective randomized controlled trials lacked completely.…”

Section: Resultsmentioning

confidence: 99%

Endoscopic treatment of pancreatic duct stones under direct vision: Revolution or resignation? Systematic review

Beyna

Neuhaus

Gerges

2017

Digestive Endoscopy

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Background and Aim: The main treatment aim in chronic pancreatitis (CP) is symptom control and especially pain relief. Management of stone-predominant CP is challenging and requires a multidisciplinary approach. Extracorporeal shock wave lithotripsy (ESWL) has emerged as the cornerstone of nonsurgical treatment as a result of disappointing results of available endoscopic treatment options during the last decades. With new developments in the field of direct peroral pancreatoscopy (POP) and intracorporeal lithotripsy, direct intraluminal treatment of main pancreatic duct (MPD) stones returns to the spotlight.Methods: Herein, we reviewed the current data on direct pancreatoscopic treatment of MPD stones with a focus on efficiency and safety of available technologies, endoscopes and lithotripsy devices. A systematic Medline search for relevant studies was done.Results: Ten relevant publications meeting the inclusion criteria were identified (two prospective series, six retrospective trials, two case reports, n = 87 patients). Successful ductal clearance for POP-guided treatment was reported as between 43% and 100% compared to ESWL with 59% to 80%. Adverse event rate for POP-guided therapy was reported as 0-13.5%. One study showed a noticeable higher adverse event rate of 43%. In this trial, POP was carried out after ESWL. There is no reported mortality following POP treatment. Conclusion:Available results are promising in terms of ductal clearance and pain relief compared to standard endoscopic techniques and ESWL as the current gold standard for lithotripsy. Interpretation of this data is limited by the small number of cases for POP and the lack of prospective randomized controlled trials.

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Section: Resultsmentioning

confidence: 99%

Endoscopic treatment of pancreatic duct stones under direct vision: Revolution or resignation? Systematic review

Beyna

Neuhaus

Gerges

2017

Digestive Endoscopy

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“…31,32 The application of a yttrium-aluminum-garnet laser for fragmenting gallstones was initially described by Lux et al 31 and subsequently for pancreatic stones by Neuhaus et al 33,34 In the last decade, LL has been achieved using a!500-mm holmium laser fiber through a 10F Spyglass pancreatoscope. Alatawi et al 35 (n Z 5) and Maydeo et al 36 (n Z 4) reported technical success of 100% and no AEs, although the stones were sub-centimeter and limited to the head and neck regions. Repeat ERCP for stricture management or stone fragments was routinely performed in 1 of these studies.…”

Section: Discussionmentioning

confidence: 96%

“…Repeat ERCP for stricture management or stone fragments was routinely performed in 1 of these studies. 35 Just as with ESWL, ERCP with POP may require multiple procedures and carries acceptable risk in this difficult patient population. The decision to proceed with POP or ESWL as the index intervention should be tailored to the location of stones, availability, local expertise, and patient preference.…”

Section: Discussionmentioning

confidence: 99%

ERCP with per-oral pancreatoscopy–guided laser lithotripsy for calcific chronic pancreatitis: a multicenter U.S. experience

Attwell

Patel

Kahaleh

et al. 2015

Gastrointestinal Endoscopy

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“…108 Intraductal laser and electrohydraulic lithotripsy are technically demanding procedures with varied rates of successful stone clearance ranging from 47% to 83% in small series. [128][129][130] These interventions should be considered after failed previous ESWL and ERP. 108 Surgery has been demonstrated to be effective in symptomatic relief in approximately 50% of patients who were not improved with previous endoscopic therapy.…”

Section: Pd Stonesmentioning

confidence: 99%

The role of endoscopy in benign pancreatic disease

Chandrasekhara¹,

Chathadi²,

Acosta³

et al. 2015

Gastrointestinal Endoscopy

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Pancreatoscopy-guided intracorporeal laser lithotripsy for difficult pancreatic duct stones: a case series with prospective follow-up (with video)

Cited by 23 publications

References 9 publications

Endoscopic treatment of pancreatic duct stones under direct vision: Revolution or resignation? Systematic review

Endoscopic treatment of pancreatic duct stones under direct vision: Revolution or resignation? Systematic review

ERCP with per-oral pancreatoscopy–guided laser lithotripsy for calcific chronic pancreatitis: a multicenter U.S. experience

The role of endoscopy in benign pancreatic disease

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