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Management of Pancreatic Duct Stones

  • Pancreas and Biliary Tract (O Haluszka, Section Editor)
  • Published:
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Abstract

Purpose of Review

Pancreatic duct stones are sequela of chronic pancreatitis. They can cause pancreatic duct obstruction which is the most important cause of pain in chronic pancreatitis. Stone resolution has shown to improve pain. The goal of this review is to highlight recent endoscopic and surgical advancements in treatment of pancreatic duct stones.

Recent Findings

Stone fragmentation by extracorporeal shock wave lithotripsy has become first line and the mainstay of treatment for majority of patients with pancreatic duct stones. Introduction of digital video pancreatoscopy in the last few years with the capability of guided lithotripsy has provided a robust therapeutic option where extracorporeal shock wave lithotripsy is unsuccessful or unavailable. Historically, surgery has been considered a more reliable and durable option when feasible. However, it had not been compared with more effective endoscopic therapy.

Summary

Lithotripsy (extracorporeal and pancreatoscopy guided) is evolving as a strong treatment modality for pancreatic stones.

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Authors and Affiliations

  1. Division of Gastroenterology & Hepatology, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR, 97239, USA

    Kaveh Sharzehi

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  1. Kaveh Sharzehi
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Correspondence to Kaveh Sharzehi.

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Sharzehi, K. Management of Pancreatic Duct Stones. Curr Gastroenterol Rep 21, 63 (2019). https://doi.org/10.1007/s11894-019-0727-0

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