strictures) and 85.7% (12/14 strictures). In 63.6% (nZ7) of patients, CPL of strictures permitted access to impacted pancreatic duct stones for concomitant laser lithotripsy. The patient with IPMN had no further hospitalizations for pancreatitis. Conclusions: 1) CPL for strictures of the pancreatic duct refractory to conventional dilation and multiple stenting carries a high rate of technical success and is safe. 2) CPL of downstream strictures can facilitate access to impacted stones for laser lithotripsy. 3) Larger studies with a control population are required to further validate this technique.
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