Extracorporeal lithotripsy of pancreatic stones in patients with chronic pancreatitis and pain: a prospective follow up study

T Sauerbruch, J Holl, M Sackmann, G Paumgartner, T Sauerbruch, J Holl, M Sackmann, G Paumgartner

Abstract

Extracorporeal shock wave lithotripsy of pancreatic duct stones (largest stone 12 (SD) 6 mm) was performed in 24 patients with abdominal pain and a dilated duct system (main pancreatic duct 10 (3) mm). The procedure was well tolerated in all but two patients, who had a mild pancreatitic attack immediately after lithotripsy. Disintegration of the stones was achieved in 21 patients. This allowed complete clearance of the duct system by an endoscopic approach in 10 (42%) patients and partial clearance in 7 (29%) patients. Within a mean follow up period of 24 (14) months half of the patients showed complete or considerable relief of pain and alleviation of symptoms was achieved in seven patients. Relief of pain occurred more often after complete ductal clearance. There were no fatalities within the follow up period. These findings underline the value of a combined non-surgical approach, using endoscopy and adjuvant shock wave lithotripsy to patients with large pancreatic calculi and pain attacks.

References

    1. Gastroenterology. 1992 Feb;102(2):610-20
    1. Gastroenterology. 1984 May;86(5 Pt 1):820-8
    1. Endoscopy. 1991 May;23(3):171-6
    1. Endoscopy. 1991 May;23(3):161-5
    1. Endoscopy. 1991 May;23(3):151-4
    1. Ann Intern Med. 1991 Feb 15;114(4):290-6
    1. Gastrointest Endosc. 1988 Jan-Feb;34(1):9-15
    1. Scand J Gastroenterol. 1985 Aug;20(6):651-9
    1. Gastroenterology. 1989 Jan;96(1):146-52
    1. Gut. 1989 Oct;30(10):1406-11
    1. Gastroenterology. 1988 Jun;94(6):1459-69
    1. Gut. 1984 Oct;25(10):1107-12
    1. Endoscopy. 1987 Sep;19(5):207-8
    1. N Engl J Med. 1986 Mar 27;314(13):818-22
    1. Endoscopy. 1985 Mar;17(2):69-72
    1. World J Surg. 1990 Jan-Feb;14(1):70-6
    1. World J Surg. 1990 Jan-Feb;14(1):53-8
    1. Scand J Gastroenterol. 1990 May;25(5):462-6
    1. Gastrointest Endosc. 1990 Mar-Apr;36(2):96-100
    1. Lancet. 1980 Dec 13;2(8207):1265-8
    1. Endoscopy. 1991 May;23(3):185-90

Source: PubMed

赞助者和合作者

医疗条件

药物干预

3
订阅