Document Detail

Pilot study of pancreatoscopic lithotripsy using a 5-fr instrument: selected patients may benefit.
MedLine Citation:
PMID:  14986218     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND STUDY AIMS: Despite advances in endoscopic procedures and extracorporeal shock wave lithotripsy (ESWL), the removal of impacted pancreatic duct stones demands a certain amount of time. The aim of this study was to determine which patient group might suitable for our single-session treatment. PATIENTS AND METHODS: The study included 17 patients who were symptomatic due to relapsing pancreatitis with pancreatic duct stones. A 5-Fr miniscope was inserted via the papilla to the impacted pancreatic duct stone and pancreatoscopic laser lithotripsy (PSLL) was performed, under direct vision, in only one session. If complete extraction of the pancreatic duct stones was not achieved with PSLL, ESWL was adopted in subsequent sessions. RESULTS: Complete extraction of the pancreatic duct stones using PSLL in a single session was achieved in eight of 17 patients. Single-session PSLL was only suitable for patients with pancreatic duct stones smaller than 17 mm in diameter and with no severe stricture or sharp bend in the pancreatic duct proximal to the stones. CONCLUSIONS: Our single-session endoscopic treatment of pancreatic duct stones was useful in a selected patient group.
T Hirai; H Goto; Y Hirooka; A Itoh; S Hashimoto; Y Niwa; T Hayakawa
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Endoscopy     Volume:  36     ISSN:  0013-726X     ISO Abbreviation:  Endoscopy     Publication Date:  2004 Mar 
Date Detail:
Created Date:  2004-02-26     Completed Date:  2004-06-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0215166     Medline TA:  Endoscopy     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  212-6     Citation Subset:  IM    
Second Department of Internal Medicine, Nagoya University School of Medicine, Nagoya, Japan.
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MeSH Terms
Aged, 80 and over
Cholangiopancreatography, Endoscopic Retrograde / methods*
Lithiasis / therapy*
Lithotripsy, Laser / instrumentation*
Middle Aged
Pancreatic Diseases / therapy*
Pancreatic Ducts / pathology
Patient Selection
Pilot Projects
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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