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Extracorporeal shock wave lithotripsy for the treatment of pancreatic duct stones

  • Published:
Journal of Hepato-Biliary-Pancreatic Surgery

Abstract

The purpose of endoscopic therapy in chronic pancreatitis is to decompress the main pancreatic duct and to remove the obstacles that impede the ductal flow of pancreatic juice. The availability of extracorporeal shock wave lithotripsy (ESWL) has improved the results of endoscopic drainage of the main pancreatic duct and has also expanded the indications of endoscopic therapy for chronic pancreatitis. This article briefly reviews ESWL for pancreatic duct stones in patients with chronic pancreatitis, including our experience with ESWL. ESWL is an effective and safe procedure for endoscopically unremovable main pancreatic duct stones, and, in selected patients, ESWL alone may be effective.

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References

  1. H Sarles JP Bernard L Gullo (1990) ArticleTitlePathogenesis of chronic pancreatitis Gut 31 629–32 Occurrence Handle1:STN:280:By%2BA3sjktFw%3D Occurrence Handle2199345

    CAS  PubMed  Google Scholar 

  2. ND Karanjia HA Reber (1990) ArticleTitleThe cause and management of the pain of chronic pancreatitis Gastroenterol Clin North Am 19 895–904 Occurrence Handle1:STN:280:By6D1Mbptlc%3D Occurrence Handle2269524

    CAS  PubMed  Google Scholar 

  3. P Di Sebastiano H Friess FF Di Mola P Innocenti MW Buchler (2000) ArticleTitleMechanisms of pain in chronic pancreatitis Ann Ital Chir 71 11–6 Occurrence Handle1:STN:280:DC%2BD3c3ovVehtQ%3D%3D Occurrence Handle10829518

    CAS  PubMed  Google Scholar 

  4. CS Pitchumoni (1998) ArticleTitleChronic pancretitis: pathogenesis and management of pain J Clin Gastroenterol 27 101–7 Occurrence Handle10.1097/00004836-199809000-00002 Occurrence Handle1:STN:280:DyaK1cvisFOltw%3D%3D Occurrence Handle9754770

    Article  CAS  PubMed  Google Scholar 

  5. R Alhalel GB Haber (1995) ArticleTitleEndoscopic therapy of pancreatic stones Gastrointest Endosc Clin N Am 5 195–215 Occurrence Handle1:STN:280:ByqB2crlsF0%3D Occurrence Handle7728344

    CAS  PubMed  Google Scholar 

  6. K Suda M Mogaki T Oyama Y Matsumoto (1990) ArticleTitleHistopathologic and immunohistochemical studies on alcoholic pancreatitis and chronic obstructive pancreatitis: special emphasis on ductal obstruction and genesis of pancreatitis Am J Gastroenterol 85 271–6 Occurrence Handle1:STN:280:By%2BC2sfgsVA%3D Occurrence Handle2178399

    CAS  PubMed  Google Scholar 

  7. EL Bradley Suffix3rd (1987) ArticleTitleLong-term results of pancreaticojejunostomy in patients with chronic pancreatitis Am J Surg 153 207–13 Occurrence Handle10.1016/0002-9610(87)90816-6 Occurrence Handle3812895

    Article  PubMed  Google Scholar 

  8. M Cremer J Deviere M Delhaye M Baize A Vandermeeren (1991) ArticleTitleStenting in severe chronic pancreatitis: results of medium-term follow-up in 76 patients Endoscopy 23 171–6 Occurrence Handle1:STN:280:By6A3Mjhs1U%3D Occurrence Handle1860448

    CAS  PubMed  Google Scholar 

  9. MJ Farnbacher C Schoen T Rabenstein J Benninger EG Hahn HT Schneider (2002) ArticleTitlePancreatic duct stones in chronic pancreatitis: criteria for treatment intensity and success Gastrointest Endosc 56 501–6 Occurrence Handle10.1016/S0016-5107(02)70433-1 Occurrence Handle12297764

    Article  PubMed  Google Scholar 

  10. S Sherman GA Lehman RH Hawes T Ponich LS Miller LB Cohen et al. (1991) ArticleTitlePancreatic ductal stones: frequency of successful endoscopic removal and improvement in symptoms Gastrointest Endosc 37 511–7 Occurrence Handle1:STN:280:By2D3sfns1Y%3D Occurrence Handle1936826

    CAS  PubMed  Google Scholar 

  11. RA Kozarek TJ Ball DJ Patterson (1992) ArticleTitleEndoscopic approach to pancreatic duct calculi and obstructive pancreatitis Am J Gastroenterol 87 600–3 Occurrence Handle1:STN:280:By2B1c%2FnsVw%3D Occurrence Handle1595647

    CAS  PubMed  Google Scholar 

  12. NM Guda S Partington ML Freeman (2005) ArticleTitleExtracorporeal shock wave lithotripsy in the management of chronic calcific pancreatitis: a meta-analysis JOP 6 6–12 Occurrence Handle15650279

    PubMed  Google Scholar 

  13. T Sauerbruch J Holl M Sackmann R Werner R Wotzka G Paumgartner (1987) ArticleTitleDisintegration of pancreatic duct stone with extracorporeal shock waves in a patient with chronic pancreatitis Endoscopy 19 207–8 Occurrence Handle1:STN:280:BieD2MvovF0%3D Occurrence Handle3678162

    CAS  PubMed  Google Scholar 

  14. C Chaussy W Brendel E Schmiedt (1980) ArticleTitleExtracorporeally induced destruction of kidney stones by shock waves Lancet II 1265–8

    Google Scholar 

  15. T Sauerbruch M Delius G Paumgartner J Holl O Wess W Weber et al. (1986) ArticleTitleFragmentation of gallstones by extracorporeal shock waves N Engl J Med 314 818–22 Occurrence Handle1:STN:280:BimC2cnnvVw%3D Occurrence Handle3951514

    CAS  PubMed  Google Scholar 

  16. M Sackmann M Delius T Sauerbruch J Holl W Weber E Ippisch et al. (1988) ArticleTitleShock-wave lithotripsy of gallbladder stones. The first 175 patients N Engl J Med 318 393–7 Occurrence Handle1:STN:280:BieC383ivFI%3D Occurrence Handle3340116

    CAS  PubMed  Google Scholar 

  17. JS Wolf SuffixJr ML Stoller (1990) ArticleTitleApplication of urologic techniques to nonurinary calculi Urology 36 383–9 Occurrence Handle2238294

    PubMed  Google Scholar 

  18. MH Brinton CA Pellegrini SF Stein LW Way (1984) ArticleTitleSurgical treatment of chronic pancreatitis Am J Surg 148 754–9 Occurrence Handle10.1016/0002-9610(84)90431-8 Occurrence Handle1:STN:280:BiqD2s%2FgtlA%3D Occurrence Handle6507746

    Article  CAS  PubMed  Google Scholar 

  19. BK Auge GM Preminger (2002) ArticleTitleUpdate on shock wave lithotripsy technology Curr Opin Urol 12 287–90 Occurrence Handle12072648

    PubMed  Google Scholar 

  20. W Eisenmenger (2001) ArticleTitleThe mechanisms of stone fragmentation in ESWL Ultrasound Med Biol 27 683–93 Occurrence Handle10.1016/S0301-5629(01)00345-3 Occurrence Handle1:STN:280:DC%2BD3MzjtVejtw%3D%3D Occurrence Handle11397533

    Article  CAS  PubMed  Google Scholar 

  21. WC Chapman WH Stephens LF Williams SuffixJr (1989) ArticleTitlePrinciples of biliary extracorporeal lithotripsy. Technical considerations and clinical implications Am J Surg 158 179–83 Occurrence Handle10.1016/0002-9610(89)90247-X Occurrence Handle1:STN:280:BiaA2s7pslU%3D Occurrence Handle2672838

    Article  CAS  PubMed  Google Scholar 

  22. G Costamagna A Gabbrielli M Mutignani V Perri M Pandolfi M Boscaini et al. (1997) ArticleTitleExtracorporeal shock wave lithotripsy of pancreatic stones in chronic pancreatitis: immediate and medium-term results Gastrointest Endosc 46 231–6 Occurrence Handle10.1016/S0016-5107(97)70092-0 Occurrence Handle1:STN:280:DyaK1c%2Fhsl2rsA%3D%3D Occurrence Handle9378210

    Article  CAS  PubMed  Google Scholar 

  23. M Delhaye A Vandermeeren M Baize M Cremer (1992) ArticleTitleExtracorporeal shock-wave lithotripsy of pancreatic calculi Gastroenterology 102 610–20 Occurrence Handle1:STN:280:By2C38%2FjvFY%3D Occurrence Handle1732129

    CAS  PubMed  Google Scholar 

  24. T Sauerbruch J Holl M Sackmann G Paumgartner (1992) ArticleTitleExtracorporeal lithotripsy of pancreatic stones in patients with chronic pancreatitis and pain: a prospective follow up study Gut 33 969–72 Occurrence Handle1:STN:280:By2A2MvpslQ%3D Occurrence Handle1644340

    CAS  PubMed  Google Scholar 

  25. H Grimm WH Meyer VC Nam N Soehendra (1989) ArticleTitleNew modalities for treating chronic pancreatitis Endoscopy 21 70–4 Occurrence Handle1:STN:280:BiaB3M%2Fls1I%3D Occurrence Handle2707174

    CAS  PubMed  Google Scholar 

  26. RA Kozarek JJ Brandabur TJ Ball M Gluck DJ Patterson F Attia et al. (2002) ArticleTitleClinical outcomes in patients who undergo extracorporeal shock wave lithotripsy for chronic calcific pancreatitis Gastrointest Endosc 56 496–500 Occurrence Handle12297763

    PubMed  Google Scholar 

  27. G Costamagna A Tringali (2005) Endoscopic treatment of pain in chronic pancreatitis: really useful or only feasible? JE Dominguez-Munoz (Eds) Clinical pancreatology for practising gastroenterologists and surgeons Blackwell Oxford 280–7

    Google Scholar 

  28. MH Kim SJ Myung YS Kim HJ Kim DW Seo SW Nam et al. (1998) ArticleTitleRoutine biliary sphincterotomy may not be indispensable for endoscopic pancreatic sphincterotomy Endoscopy 30 697–701 Occurrence Handle1:STN:280:DyaK1M%2FotFWmtQ%3D%3D Occurrence Handle9865559

    CAS  PubMed  Google Scholar 

  29. T Nakazawa K Ohara J Sano H Anto M Ito (2001) ArticleTitleEndoscopic pancreatic stenting in combination with extracorporeal shock wave lithotripsy for pancreatic duct stones (in Japanese) Tan to Sui (J Bil Pancr) 22 139–43

    Google Scholar 

  30. HT Schneider A May J Benninger T Rabenstein EG Hahn A Katalinic et al. (1994) ArticleTitlePiezoelectric shock wave lithotripsy of pancreatic duct stones Am J Gastroenterol 89 2042–8 Occurrence Handle1:STN:280:ByqD38bisV0%3D Occurrence Handle7942733

    CAS  PubMed  Google Scholar 

  31. W Johanns C Jakobeit L Greiner J Janssen (1996) ArticleTitleUltrasound-guided extracorporeal shock wave lithotripsy of pancreatic ductal stones: 6 years’ experience Can J Gastroenterol 10 471–5 Occurrence Handle1:STN:280:ByiB28fgvFM%3D Occurrence Handle9113891

    CAS  PubMed  Google Scholar 

  32. HE Adamek R Jakobs A Buttmann MU Adamek AR Schneider JF Riemann (1999) ArticleTitleLong term follow up of patients with chronic pancreatitis and pancreatic stones treated with extracorporeal shock wave lithotripsy Gut 45 402–5 Occurrence Handle1:STN:280:DyaK1Mzns12jtw%3D%3D Occurrence Handle10446109

    CAS  PubMed  Google Scholar 

  33. B Brand M Kahl S Sidhu VC Nam PV Sriram S Jaeckle et al. (2000) ArticleTitleProspective evaluation of morphology, function, and quality of life after extracorporeal shockwave lithotripsy and endoscopic treatment of chronic calcific pancreatitis Am J Gastroenterol 95 3428–38 Occurrence Handle1:STN:280:DC%2BD3M%2FpvFSntw%3D%3D Occurrence Handle11151873

    CAS  PubMed  Google Scholar 

  34. KS Choi MH Kim YS Lee JC Kim EK Choi JM Han et al. (2005) ArticleTitleDisintegration of pancreatic duct stones with extracorporeal shockwave lithotripsy Korean J Gastroenterol 46 396–403 Occurrence Handle16301854

    PubMed  Google Scholar 

  35. K Inui S Tazuma T Yamaguchi H Ohara T Tsuji H Miyagawa et al. (2005) ArticleTitleTreatment of pancreatic stones with extracorporeal shock wave lithotripsy: results of a multicenter survey Pancreas 30 26–30 Occurrence Handle15632696

    PubMed  Google Scholar 

  36. Y Karasawa S Kawa Y Aoki Y Ochi H Unno K Kiyosawa et al. (2002) ArticleTitleExtracorporeal shock wave lithotripsy of pancreatic duct stones and patient factors related to stone disintegration J Gastroenterol 37 369–75 Occurrence Handle10.1007/s005350200051 Occurrence Handle12051536

    Article  PubMed  Google Scholar 

  37. W Schlosser HG Beger (2000) ArticleTitleOrgan-preserving surgery in chronic pancreatitis: the duodenum-preserving pancreatic head resection Ann Ital Chir 71 65–70 Occurrence Handle1:STN:280:DC%2BD3c3ovVegtw%3D%3D Occurrence Handle10829526

    CAS  PubMed  Google Scholar 

  38. ME Smits EA Rauws GN Tytgat K Huibregtse (1996) ArticleTitleEndoscopic treatment of pancreatic stones in patients with chronic pancreatitis Gastrointest Endosc 43 556–60 Occurrence Handle10.1016/S0016-5107(96)70190-6 Occurrence Handle1:STN:280:BymA2srmsVc%3D Occurrence Handle8781932

    Article  CAS  PubMed  Google Scholar 

  39. H Ohara M Hoshino T Hayakawa Y Kamiya M Miyaji T Takeuchi et al. (1996) ArticleTitleSingle application extracorporeal shock wave lithotripsy is the first choice for patients with pancreatic duct stones Am J Gastroenterol 91 1388–94 Occurrence Handle1:STN:280:BymB1c%2FltFU%3D Occurrence Handle8678001

    CAS  PubMed  Google Scholar 

  40. I Ihse K Borch J Larsson (1990) ArticleTitleChronic pancreatitis: results of operations for relief of pain World J Surg 14 53–8 Occurrence Handle10.1007/BF01670546 Occurrence Handle1:STN:280:By%2BC28zksVA%3D Occurrence Handle2407038

    Article  CAS  PubMed  Google Scholar 

  41. RA Prinz HB Greenlee (1981) ArticleTitlePancreatic duct drainage in 100 patients with chronic pancreatitis Ann Surg 194 313–20 Occurrence Handle1:STN:280:Bi6B1c%2FnvVI%3D Occurrence Handle7271348

    CAS  PubMed  Google Scholar 

  42. RH Taylor FH Bagley JW Braasch KW Warren (1981) ArticleTitleDuctal drainage or resection for chronic pancreatitis Am J Surg 141 28–33 Occurrence Handle1:STN:280:Bi6C3cjht1I%3D Occurrence Handle7457724

    CAS  PubMed  Google Scholar 

  43. AR Moossa (1987) ArticleTitleSurgical treatment of chronic pancreatitis: an overview Br J Surg 74 661–7 Occurrence Handle1:STN:280:BieD3c7is10%3D Occurrence Handle3307990

    CAS  PubMed  Google Scholar 

  44. GH Sakorafas MB Farnell DR Farley CM Rowland MG Sarr (2000) ArticleTitleLong-term results after surgery for chronic pancreatitis Int J Pancreatol 27 131–42 Occurrence Handle1:STN:280:DC%2BD3cvntlShsg%3D%3D Occurrence Handle10862512

    CAS  PubMed  Google Scholar 

  45. HG Beger W Schlosser HM Friess MW Buchler (1999) ArticleTitleDuodenum-preserving head resection in chronic pancreatitis changes the natural course of the disease: a single-center 26-year experience Ann Surg 230 512–9 Occurrence Handle10.1097/00000658-199910000-00007 Occurrence Handle1:STN:280:DyaK1MvltVGmtA%3D%3D Occurrence Handle10522721

    Article  CAS  PubMed  Google Scholar 

  46. T Berney T Rudisuhli J Oberholzer A Caulfield P Morel (2000) ArticleTitleLong-term metabolic results after pancreatic resection for severe chronic pancreatitis Arch Surg 135 1106–11 Occurrence Handle1:STN:280:DC%2BD3cvmtF2rsw%3D%3D Occurrence Handle10982519

    CAS  PubMed  Google Scholar 

  47. T Sauerbruch J Holl M Sackmann G Paumgartner (1989) ArticleTitleExtracorporeal shock wave lithotripsy of pancreatic stones Gut 30 1406–11 Occurrence Handle1:STN:280:By%2BD28%2FptlU%3D Occurrence Handle2583568

    CAS  PubMed  Google Scholar 

  48. JM Dumonceau J Devière O Le Moine M Delhaye A Vandermeeren M Baize et al. (1996) ArticleTitleEndoscopic pancreatic drainage in chronic pancreatitis associated with ductal stones: long-term results Gastrointest Endosc 43 547–55 Occurrence Handle10.1016/S0016-5107(96)70189-X Occurrence Handle1:STN:280:BymA2srmsVY%3D Occurrence Handle8781931

    Article  CAS  PubMed  Google Scholar 

  49. C Ell W Kerzel N Heyder W Rodl H Langer U Mischke et al. (1989) ArticleTitleTissue reactions under piezoelectric shockwave application for the fragmentation of biliary calculi Gut 30 680–5 Occurrence Handle1:STN:280:BiaB2snpslA%3D Occurrence Handle2731762

    CAS  PubMed  Google Scholar 

  50. KJ Kim SK Lee MH Kim DW Seo SS Lee YI Min (2005) ArticleTitleGastric intramural hematoma simulating submucosal tumor following extracorporeal shockwave lithotripsy in a patient with pancreatic duct stones Korean J Gastrointest Endosc 30 150–4

    Google Scholar 

  51. BG Leifsson A Borgstrom G Ahlgren (2001) ArticleTitleSplenic rupture following ESWL for a pancreatic duct calculus Dig Surg 18 229–30 Occurrence Handle10.1159/000050139 Occurrence Handle1:STN:280:DC%2BD3MvhsVansg%3D%3D Occurrence Handle11464019

    Article  CAS  PubMed  Google Scholar 

  52. PW Plaisier PT den Hoed (2001) ArticleTitleSplenic abscess after lithotripsy of pancreatic duct stones Dig Surg 18 231–2 Occurrence Handle10.1159/000050140 Occurrence Handle1:STN:280:DC%2BD3MvhsVansw%3D%3D Occurrence Handle11464020

    Article  CAS  PubMed  Google Scholar 

  53. Devière J. Pancreatic endo-therapy. Presented at the Digestive Disease Week. Chicago. May 15, 2005

  54. J Devière M Delhaye M Cremer (1998) ArticleTitlePancreatic duct stones management Gastrointest Endosc Clin N Am 8 163–79 Occurrence Handle9462965

    PubMed  Google Scholar 

  55. M Delhaye C Matos J Devière (2004) ArticleTitleEndoscopic technique for the management of pancreatitis and its complications Best Pract Res Clin Gastroenterol 18 155–81 Occurrence Handle10.1016/S1521-6918(03)00077-5 Occurrence Handle15123090

    Article  PubMed  Google Scholar 

  56. W Ken S Tasai M Yamaguchi K Ohara C Tsuji K Miyakawa et al. (2004) ArticleTitleGuideline for treatment of pancreatolithiasis with extracorporeal shockwave lithotripsy (in Japanese) Tan to Sui (J Bil Pancr) 25 97–102

    Google Scholar 

  57. MU Schneider G Lux (1985) ArticleTitleFloating pancreatic duct concrements in chronic pancreatitis. Pain relief by endoscopic removal Endoscopy 17 8–10 Occurrence Handle1:STN:280:BiqC38nnvVc%3D Occurrence Handle3971943

    CAS  PubMed  Google Scholar 

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  1. Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, 388-1 Pungnap-2dong, Songpa-gu, Seoul, 138-736, Korea

    Kwi-Sook Choi & Myung-Hwan Kim

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  1. Kwi-Sook Choi
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Choi, KS., Kim, MH. Extracorporeal shock wave lithotripsy for the treatment of pancreatic duct stones. J Hepatobiliary Pancreat Surg 13, 86–93 (2006). https://doi.org/10.1007/s00534-005-1063-3

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