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Pilot study of pancreatoscopic lithotripsy using a 5-fr instrument: selected patients may benefit.
Endoscopy. 2004 Mar; 36(3):212-6.E

Abstract

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.

Authors+Show Affiliations

Second Department of Internal Medicine, Nagoya University School of Medicine, Nagoya, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

14986218

Citation

Hirai, T, et al. "Pilot Study of Pancreatoscopic Lithotripsy Using a 5-fr Instrument: Selected Patients May Benefit." Endoscopy, vol. 36, no. 3, 2004, pp. 212-6.
Hirai T, Goto H, Hirooka Y, et al. Pilot study of pancreatoscopic lithotripsy using a 5-fr instrument: selected patients may benefit. Endoscopy. 2004;36(3):212-6.
Hirai, T., Goto, H., Hirooka, Y., Itoh, A., Hashimoto, S., Niwa, Y., & Hayakawa, T. (2004). Pilot study of pancreatoscopic lithotripsy using a 5-fr instrument: selected patients may benefit. Endoscopy, 36(3), 212-6.
Hirai T, et al. Pilot Study of Pancreatoscopic Lithotripsy Using a 5-fr Instrument: Selected Patients May Benefit. Endoscopy. 2004;36(3):212-6. PubMed PMID: 14986218.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pilot study of pancreatoscopic lithotripsy using a 5-fr instrument: selected patients may benefit. AU - Hirai,T, AU - Goto,H, AU - Hirooka,Y, AU - Itoh,A, AU - Hashimoto,S, AU - Niwa,Y, AU - Hayakawa,T, PY - 2004/2/27/pubmed PY - 2004/6/24/medline PY - 2004/2/27/entrez SP - 212 EP - 6 JF - Endoscopy JO - Endoscopy VL - 36 IS - 3 N2 - 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. SN - 0013-726X UR - https://www.unboundmedicine.com/medline/citation/14986218/Pilot_study_of_pancreatoscopic_lithotripsy_using_a_5_fr_instrument:_selected_patients_may_benefit_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-2004-814250 DB - PRIME DP - Unbound Medicine ER -