Extracorporeal shock wave lithotripsy of pancreatic stones

Extracorporeal shock wave lithotripsy of pancreatic stones was performed in eight patients with chronic pancreatitis and a dilated duct system harbouring stones 5 to 20 mm (means 10 (SD) 5 mm) in diameter. After endoscopic sphincterotomy of the pancreatic orifice the stones were disintegrated by sho...

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Bibliographic Details
Published in:Gut 1989-10, Vol.30 (10), p.1406-1411
Main Authors: Sauerbruch, T, Holl, J, Sackmann, M, Paumgartner, G
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Calculi - therapy
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Lithotripsy - adverse effects
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Male
Medical sciences
Middle Aged
Other diseases. Semiology
Pancreatic Diseases - therapy
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Summary:Extracorporeal shock wave lithotripsy of pancreatic stones was performed in eight patients with chronic pancreatitis and a dilated duct system harbouring stones 5 to 20 mm (means 10 (SD) 5 mm) in diameter. After endoscopic sphincterotomy of the pancreatic orifice the stones were disintegrated by shock waves under fluoroscopic control using a kidney lithotripter (Dornier HM3). The procedure was well tolerated by all but one patient, who had a mild pancreatitic attack immediately after lithotripsy. Clearance of the pancreatic duct systems from the larger stones was achieved in seven of eight patients. Half of the patients showed no improvement in the intensity and frequency of pain. The other patients had a marked amelioration of symptoms, however, both immediately and during a mean follow up interval of 11 (eight) months. A selective combined approach by endoscopy and extracorporeal shock wave lithotripsy for the treatment of pancreatic stones seems promising.
ISSN:0017-5749
1468-3288
1458-3288
DOI:10.1136/gut.30.10.1406