Renovascular acute renal failure precipitated by extracorporeal shock wave lithotripsy for pancreatic stones

Cecere, Nicolas; Goffette, Pierre; Deprez, Pierre Henri; Jadoul, Michel; Morelle, Johann

doi:10.1093/ckj/sfv031

Cited by 3 publications

(1 citation statement)

References 13 publications

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“…The peripancreatic organs, such as the spleen [ 36 ], lung and kidney [ 37 ], are positioned, at least partly, in the way of the energy path, and solid structures such as the vertebrae and ribs or even a firm, fibrotic pancreas may redirect part of the shock wave energy towards these tissues, which may result in injury to them. Patients can complain of corresponding symptoms and signs, including abdominal pain, cough, haemoptysis, hypoxemia or haematuria.…”

Section: Other Rare Complicationsmentioning

confidence: 99%

Adverse events of pancreatic extracorporeal shock wave lithotripsy: a literature review

Yi,

Li,

2023

BMC Gastroenterol

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Pancreatic stones are the result of pathophysiologic changes in chronic pancreatitis with an incidence of more than 90%. At present, pancreatic extracorporeal shock wave lithotripsy (P-ESWL) can be used as the first-line treatment for large or complex stones. Although a large number of studies have proven the safety and effectiveness of P-ESWL, we should also pay attention to postoperative adverse events, mainly due to the scattering of shock waves in the conduction pathway. Adverse events can be classified as either complications or transient adverse events according to the severity. Because the anatomic location of organs along the shock wave conducting pathway differs greatly, adverse events after P-ESWL are varied and difficult to predict. This paper outlines the mechanism, definition, classification, management and risk factors for adverse events related to P-ESWL. It also discusses the technique of P-ESWL, indications and contraindications of P-ESWL, and adverse events in special populations.

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Section: Other Rare Complicationsmentioning

confidence: 99%

Adverse events of pancreatic extracorporeal shock wave lithotripsy: a literature review

Yi,

Li,

2023

BMC Gastroenterol

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Safety evaluation of extracorporeal shockwave lithotripsy for pancreatic stones: Experience based on a large chronic pancreatitis cohort

Liu,

Yi,

Wang

et al. 2024

Digestive and Liver Disease

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Pancreatic extracorporeal shock wave lithotripsy: a key technology truly improves treatment model for pancreatic stones

Yi,

Xu,

2024

Medical Review

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Chronic pancreatitis (CP) is characterized by irreversible destruction of pancreatic parenchyma, inflammatory cell infiltration and progressive fibrosis of pancreatic tissue. Obstruction of pancreatic duct by pancreatic stone is the common pathological change in the course of CP with the incidence of over 50 % at the diagnosis of CP. These ductal stones would cause pancreatic parenchymal hypertension and local ischemia, which was eventually followed by recurrent episodes of painful pancreatitis or other manifestations of pancreatic exocrine and endocrine insufficiency. Removing pancreatic stones has been confirmed as the core to reduce pressure, improve drainage and lessen pain. Surgical therapy achieves satisfying pain relief with more complications, higher cost and less repeatability compared with endoscopic therapy. Endoscopic retrograde cholangiopancreatography, which used to be the standard endoscopic therapy for pancreatic stones, would fail if these stones are large or complex, while pancreatic extracorporeal shock wave lithotripsy (P-ESWL), which has been applied since 1987, could overcome this problem. Up to now, a large number of guidelines have recommended the P-ESWL as the first-line treatment strategy for radiopaque obstructive main pancreatic duct stones larger than 5 mm located in the head/body of the pancreas, and P-ESWL had completely changed the traditional treatment model for CP patients with pancreatic stones. In this article, we will focus on the technical progress, efficacy, safety and potential research areas of P-ESWL, we also give us suggestions for lithotripters improvement.

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Renovascular acute renal failure precipitated by extracorporeal shock wave lithotripsy for pancreatic stones

Cited by 3 publications

References 13 publications

Adverse events of pancreatic extracorporeal shock wave lithotripsy: a literature review

Adverse events of pancreatic extracorporeal shock wave lithotripsy: a literature review

Safety evaluation of extracorporeal shockwave lithotripsy for pancreatic stones: Experience based on a large chronic pancreatitis cohort

Pancreatic extracorporeal shock wave lithotripsy: a key technology truly improves treatment model for pancreatic stones

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