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Abstract

Endoscopic management for pain from chronic calcifying pancreatitis (CCP) can be achieved by draining an obstructed pancreatic duct (PD) and/or removing obstructing PD calculi [1]. Current guidelines recommend extracorporeal shock wave lithotripsy (ESWL) as first-line treatment of PD stones. However, its limitations include lack of availability and the need for multiple ESLW and endoscopic retrograde cholangiopancreatography (ERCP) sessions [2]. The role of pancreatoscopy in PD stone treatment is unclear, with reported success rates between 43 % and 100 %, based on small retrospective studies [2-7]. In 2015, single-operator digital video cholangiopancreaticoscopy (SOVP) (SpyGlassDS, Boston-Scientific) was introduced. There is limited data on the role of SOVP in the treatment of PD stones in CP. Our aim was to investigate the role of digital SOVP-guided PD stone lithotripsy in patients with CP with regard to safety, technical and short-term clinical success.