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Laser lithotripsy to treat basket impaction during mechanical lithotripsy of a pancreatic duct stone.
JOP. 2012 Jan 10; 13(1):101-3.JOP

Abstract

CONTEXT

Though uncommon, pancreatic duct stones can cause significant discomfort and morbidity. Endoscopic removal of pancreatic stones may decrease intraductal pressure by augmenting ductal drainage. Endoscopy is shown to be most effective when used early in the course of the disease. Endoscopic methods such as mechanical lithotripsy are often successful in removing the majority of pancreatic stones. However, its complication rate is quite high, with basket malfunction being the one most frequently encountered.

CASE REPORT

We report a case of a patient with idiopathic chronic calcific pancreatitis presenting with symptomatic pancreatic duct stones. During one attempt of basket mechanical lithotripsy, the basket wires fractured. The basket and stone thus became entrapped in the patient's pancreatic duct. Holmium laser lithotripsy was applied via the mother-baby system of the endoscope. The stone was crushed, and the basket and stone fragments were able to be removed.

CONCLUSIONS

To our knowledge, this is the first time laser lithotripsy has been employed to relieve basket impaction during attempted mechanical lithotripsy of a pancreatic duct stone. This method may be considered as a rescue technique by endoscopists encountering basket impaction in the future.

Authors+Show Affiliations

Conroe Medical Education Foundation Family Medicine Residency, Conroe, TX, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22233959

Citation

Hlaing, Crystal, et al. "Laser Lithotripsy to Treat Basket Impaction During Mechanical Lithotripsy of a Pancreatic Duct Stone." JOP : Journal of the Pancreas, vol. 13, no. 1, 2012, pp. 101-3.
Hlaing C, Tarnasky P, Hambrick D. Laser lithotripsy to treat basket impaction during mechanical lithotripsy of a pancreatic duct stone. JOP. 2012;13(1):101-3.
Hlaing, C., Tarnasky, P., & Hambrick, D. (2012). Laser lithotripsy to treat basket impaction during mechanical lithotripsy of a pancreatic duct stone. JOP : Journal of the Pancreas, 13(1), 101-3.
Hlaing C, Tarnasky P, Hambrick D. Laser Lithotripsy to Treat Basket Impaction During Mechanical Lithotripsy of a Pancreatic Duct Stone. JOP. 2012 Jan 10;13(1):101-3. PubMed PMID: 22233959.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laser lithotripsy to treat basket impaction during mechanical lithotripsy of a pancreatic duct stone. AU - Hlaing,Crystal, AU - Tarnasky,Paul, AU - Hambrick,David, Y1 - 2012/01/10/ PY - 2011/12/22/received PY - 2011/12/22/accepted PY - 2012/1/12/entrez PY - 2012/1/12/pubmed PY - 2012/6/5/medline SP - 101 EP - 3 JF - JOP : Journal of the pancreas JO - JOP VL - 13 IS - 1 N2 - CONTEXT: Though uncommon, pancreatic duct stones can cause significant discomfort and morbidity. Endoscopic removal of pancreatic stones may decrease intraductal pressure by augmenting ductal drainage. Endoscopy is shown to be most effective when used early in the course of the disease. Endoscopic methods such as mechanical lithotripsy are often successful in removing the majority of pancreatic stones. However, its complication rate is quite high, with basket malfunction being the one most frequently encountered. CASE REPORT: We report a case of a patient with idiopathic chronic calcific pancreatitis presenting with symptomatic pancreatic duct stones. During one attempt of basket mechanical lithotripsy, the basket wires fractured. The basket and stone thus became entrapped in the patient's pancreatic duct. Holmium laser lithotripsy was applied via the mother-baby system of the endoscope. The stone was crushed, and the basket and stone fragments were able to be removed. CONCLUSIONS: To our knowledge, this is the first time laser lithotripsy has been employed to relieve basket impaction during attempted mechanical lithotripsy of a pancreatic duct stone. This method may be considered as a rescue technique by endoscopists encountering basket impaction in the future. SN - 1590-8577 UR - https://www.unboundmedicine.com/medline/citation/22233959/Laser_lithotripsy_to_treat_basket_impaction_during_mechanical_lithotripsy_of_a_pancreatic_duct_stone_ L2 - http://www.serena.unina.it/index.php/jop/article/view/628/757 DB - PRIME DP - Unbound Medicine ER -