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Management of Pancreatic Duct Stones.
Curr Gastroenterol Rep. 2019 Dec 04; 21(11):63.CG

Abstract

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.

Authors+Show Affiliations

Division of Gastroenterology & Hepatology, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR, 97239, USA. sharzehi@ohsu.edu.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

31797163

Citation

Sharzehi, Kaveh. "Management of Pancreatic Duct Stones." Current Gastroenterology Reports, vol. 21, no. 11, 2019, p. 63.
Sharzehi K. Management of Pancreatic Duct Stones. Curr Gastroenterol Rep. 2019;21(11):63.
Sharzehi, K. (2019). Management of Pancreatic Duct Stones. Current Gastroenterology Reports, 21(11), 63. https://doi.org/10.1007/s11894-019-0727-0
Sharzehi K. Management of Pancreatic Duct Stones. Curr Gastroenterol Rep. 2019 Dec 4;21(11):63. PubMed PMID: 31797163.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management of Pancreatic Duct Stones. A1 - Sharzehi,Kaveh, Y1 - 2019/12/04/ PY - 2019/12/5/entrez PY - 2019/12/5/pubmed PY - 2020/4/14/medline KW - Chronic pancreatitis KW - Endoscopic retrograde cholangiopancreatography (ERCP) KW - Extracorporeal shock wave lithotripsy (ESWL) KW - Pancreatic lithotripsy KW - Pancreatic stones KW - Pancreatoscopy SP - 63 EP - 63 JF - Current gastroenterology reports JO - Curr Gastroenterol Rep VL - 21 IS - 11 N2 - 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. SN - 1534-312X UR - https://www.unboundmedicine.com/medline/citation/31797163/Management_of_Pancreatic_Duct_Stones_ L2 - https://dx.doi.org/10.1007/s11894-019-0727-0 DB - PRIME DP - Unbound Medicine ER -