Ultrasound-Guided Extracorporeal Shock Wave Lithotripsy of Pancreatic Ductal Stones: Six Years’ Experience

Johanns, W.; Jakobeit, Christian; Greiner, Lucas; Janssen, Jan

doi:10.1155/1996/240781

Cited by 24 publications

(17 citation statements)

References 17 publications

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“…Pancreatitis and especially severe pancreatitis is a rare complication of ESWL therapy to the pancreas [1, 7, 8, 9]. Mild pancreatitis or hyperamylasemia is reported in approximately 4% of pancreatic duct calculi treated by ESWL.…”

Section: Discussionmentioning

confidence: 99%

Splenic Rupture following ESWL for a Pancreatic Duct Calculus

Leifsson¹,

Borgström²,

Ahlgren³

2001

Dig Surg

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Extracorporeal shock wave lithotripsy (ESWL) is an established and extensively used treatment alternative for urinary calculi. It is also an established method of dealing with pancreatic duct calculi complementing endoscopic techniques in selected cases. Three reports of splenic injury following and probably caused by ESWL for urinary calculi have previously been published. We report a case of splenic rupture presenting with life-threatening hemorrhage 6 days after a single ESWL therapy session for pancreatic duct calculi.

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Section: Discussionmentioning

confidence: 99%

Splenic Rupture following ESWL for a Pancreatic Duct Calculus

Leifsson¹,

Borgström²,

Ahlgren³

2001

Dig Surg

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“…ESWL is required in 36−68% of patients and successful rates of stone clearance of the main pancreatic duct ranged from 37% to 100% [115,120,173,[179][180][181][182][183][184][185][186][187]. Use of ultrasound instead of x-rays to locate pancreatic stones is associated with a lower fragmentation rate [188,189]. Data regarding mechanical or intraductal lithotripsy technique are limited and showed it to be technically challenging, cumbersome and requiring highly specialized equipment [190,191].…”

Section: E3: Is Endoscopic Therapy Indicated In Chronic Pancreatitismentioning

confidence: 99%

Italian consensus guidelines for chronic pancreatitis

Frulloni

Falconi

Gabbrielli

et al. 2010

Digestive and Liver Disease

166

112

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This paper gives practical guidelines for diagnosis and treatment of chronic pancreatitis. Statements have been elaborated by working teams of experts, by searching for and analysing the literature, and submitted to a consensus process by using a Delphi modified procedure. The statements report recommendations on clinical and nutritional approach, assessment of pancreatic function, treatment of exocrine pancreatic failure and of secondary diabetes, treatment of pain and prevention of painful relapses. Moreover, the role of endoscopy in approaching pancreatic pain, pancreatic stones, duct narrowing and dilation, and complications was considered. Recommendations for most appropriate use of various imaging techniques and of ultrasound endoscopy are reported. Finally, a group of recommendations are addressed to the surgical treatment, with definition of right indications, timing, most appropriate procedures and techniques in different clinical conditions and targets, and clinical and functional outcomes following surgery. © 2010 Editrice Gastroenterologica Italiana S.r.l

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“…Complete stone clearance rates vary between 39 and 76%, but complete stone clearance is probably not always required for symptom relief [25,30,31,32,35,37,38,39,40,41,42,43,44,45]. Dumonceau et al [46 ]reported a significant association between immediate disappearance of pain and complete or partial PD clearance.…”

Section: Endoscopic Therapymentioning

confidence: 99%

“…The mean effect size (weighted correlation coefficient) was 0.62 for pain and 0.74 for duct clearance [47]. A complete or partial pain relief of 48-91% has been found in patients who underwent ESWL and endoscopy during a follow-up ranging from 6 to 77 months [30,31,32,34,35,37,38,39,40,41,42,43,44,45,46]. Usually, an immediate relief of pain is associated with successful decompression of the main PD (as suggested by decrease in its diameter or stone clearance) [32,35,43,46].…”

Section: Endoscopic Therapymentioning

confidence: 99%

Surgical and Endoscopic Treatment of Pain in Chronic Pancreatitis: A Multidisciplinary Update

et al. 2013

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Chronic pancreatitis is an inflammatory disease of the pancreas with abdominal pain as the most prominent symptom. Adequate treatment of patients with chronic pancreatitis remains a major challenge, mainly because of the lack of evidence-based treatment protocols. The primary goal of treatment is to achieve long-term pain relief, control of the complications associated with the disease, and to restore the quality of life. Currently, a conservative step-up approach is often used for the treatment of pain; progression to severe and intractable pain is considered necessary before invasive treatment is considered. Recent studies, however, suggest that surgical intervention should not be considered only as last-resort treatment, since it can mitigate disease progression, achieve excellent pain control, and preserve pancreatic function. In this review, we present a state-of-the art overview of endoscopic and surgical treatment options for patients with painful chronic pancreatitis, and elaborate on the timing of surgery.

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Ultrasound-Guided Extracorporeal Shock Wave Lithotripsy of Pancreatic Ductal Stones: Six Years’ Experience

Cited by 24 publications

References 17 publications

Splenic Rupture following ESWL for a Pancreatic Duct Calculus

Splenic Rupture following ESWL for a Pancreatic Duct Calculus

Italian consensus guidelines for chronic pancreatitis

Surgical and Endoscopic Treatment of Pain in Chronic Pancreatitis: A Multidisciplinary Update

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