Management of Pancreatic Duct Stones

  • Kaveh SharzehiEmail author
Pancreas and Biliary Tract (O Haluszka, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Pancreas and Biliary Tract


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.


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


Pancreatic stones Chronic pancreatitis Pancreatoscopy Pancreatic lithotripsy Extracorporeal shock wave lithotripsy (ESWL) Endoscopic retrograde cholangiopancreatography (ERCP) 


Compliance with Ethical Standards

Conflict of Interest

The author declares no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Division of Gastroenterology & HepatologyOregon Health and Science UniversityPortlandUSA

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