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Diagnosis and treatment of pancreatolithiasis: report of 16 cases.
Hepatobiliary Pancreat Dis Int. 2005 Feb; 4(1):135-8.HP

Abstract

BACKGROUND

Pancreatolithiasis is rarely recognized clinically. This study was undertaken to assess the value of ultrasonography in the diagnosis of 16 patients with pancreatolithiasis and its treatment with pancreatolithotomy plus side-to-side pancreaticojejunostomy. Extracorporeal shock wave lithotripsy was also used in some patients.

METHODS

In the 16 patients with pancreatolithiasis treated at our hospital from 1977 to June 2002, 3 patients were complicated by pancreatic cancer, 2 pancreatic head cyst, and 1 choledochal cyst. Ten patients underwent operation, 3 received endoscopic sphincterotomy (EST), and 3 refused operation and left the hospital.

RESULTS

Epigastric pain was the major symptom of the disease. Ultrasonography was the best choice for the diagnosis of the disease in addition to CT for determining characteristics and location of pancreatolithiasis associated with pancreatic cancer, ERCP for showing pancreatic stone, and EST for detecting stone in the pancreatic head. Pancreatolithotomy plus side-to-side pancreaticojejunostomy was used for the treatment of pancreatolithiasis.

CONCLUSIONS

Ultrasonography is the first choice for the diagnosis of pancreatolithiasis. Pancreatolithotomy plus side-to-side pancreaticojejunostomy is the best choice for the treatment of pancreatolithiasis. CT is of great value in determining characteristics and locations of pancreatolithiasis associated with pancreatic cancer. For patients with pancreatolithiasis associated with pancreatic cancer, surgical treatment should follow the principles of individualized therapy.

Authors+Show Affiliations

Department of Hepatobiliary and Vascular Surgery, Nanfang Hospital, Guangzhou 510515, China. guoweizhang@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Review

Language

eng

PubMed ID

15730938

Citation

Zhang, Guo-Wei, et al. "Diagnosis and Treatment of Pancreatolithiasis: Report of 16 Cases." Hepatobiliary & Pancreatic Diseases International : HBPD INT, vol. 4, no. 1, 2005, pp. 135-8.
Zhang GW, Zhou J, Li CL, et al. Diagnosis and treatment of pancreatolithiasis: report of 16 cases. HBPD INT. 2005;4(1):135-8.
Zhang, G. W., Zhou, J., Li, C. L., & Huang, Y. Q. (2005). Diagnosis and treatment of pancreatolithiasis: report of 16 cases. Hepatobiliary & Pancreatic Diseases International : HBPD INT, 4(1), 135-8.
Zhang GW, et al. Diagnosis and Treatment of Pancreatolithiasis: Report of 16 Cases. HBPD INT. 2005;4(1):135-8. PubMed PMID: 15730938.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diagnosis and treatment of pancreatolithiasis: report of 16 cases. AU - Zhang,Guo-Wei, AU - Zhou,Jie, AU - Li,Chao-Long, AU - Huang,Yu-Qi, PY - 2005/2/26/pubmed PY - 2005/4/7/medline PY - 2005/2/26/entrez SP - 135 EP - 8 JF - Hepatobiliary & pancreatic diseases international : HBPD INT JO - HBPD INT VL - 4 IS - 1 N2 - BACKGROUND: Pancreatolithiasis is rarely recognized clinically. This study was undertaken to assess the value of ultrasonography in the diagnosis of 16 patients with pancreatolithiasis and its treatment with pancreatolithotomy plus side-to-side pancreaticojejunostomy. Extracorporeal shock wave lithotripsy was also used in some patients. METHODS: In the 16 patients with pancreatolithiasis treated at our hospital from 1977 to June 2002, 3 patients were complicated by pancreatic cancer, 2 pancreatic head cyst, and 1 choledochal cyst. Ten patients underwent operation, 3 received endoscopic sphincterotomy (EST), and 3 refused operation and left the hospital. RESULTS: Epigastric pain was the major symptom of the disease. Ultrasonography was the best choice for the diagnosis of the disease in addition to CT for determining characteristics and location of pancreatolithiasis associated with pancreatic cancer, ERCP for showing pancreatic stone, and EST for detecting stone in the pancreatic head. Pancreatolithotomy plus side-to-side pancreaticojejunostomy was used for the treatment of pancreatolithiasis. CONCLUSIONS: Ultrasonography is the first choice for the diagnosis of pancreatolithiasis. Pancreatolithotomy plus side-to-side pancreaticojejunostomy is the best choice for the treatment of pancreatolithiasis. CT is of great value in determining characteristics and locations of pancreatolithiasis associated with pancreatic cancer. For patients with pancreatolithiasis associated with pancreatic cancer, surgical treatment should follow the principles of individualized therapy. SN - 1499-3872 UR - https://www.unboundmedicine.com/medline/citation/15730938/Diagnosis_and_treatment_of_pancreatolithiasis:_report_of_16_cases_ L2 - https://medlineplus.gov/pancreaticdiseases.html DB - PRIME DP - Unbound Medicine ER -