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An unusual complication in attempted non-surgical treatment of pancreatic bile duct stones.
Endoscopy. 1993 Mar; 25(3):248-50.E

Abstract

This report describes a guidewire fracture during an attempt at endoscopic treatment of pancreatic duct calculi in a patient with chronic pancreatitis, multiple pancreatic duct stenoses and pancreatic duct stones. This patient underwent endoscopic sphincterotomy in order to perform pancreatic duct drainage prior to ESWL. After sphincterotomy, a guidewire was introduced into the main pancreatic duct, but was jammed by the calculi. Neither could the guidewire be removed nor a contrast medium catheter be pushed over it, thus making ESWL impossible. A stronger pull resulted in a fracture of the wire, and a 25 mm long part which could not be removed with a Dormia basket remained in the main pancreatic duct. A Whipple's procedure became necessary as definitive treatment for the pancreatico-lithiasis in this patient.

Authors+Show Affiliations

Surgical Department I, Ludwig-Boltzmann-Institute for Experimental and Gastroenterological Surgery, Landeskrankenanstalten Salzburg, Austria.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

8519247

Citation

Heinerman, M, et al. "An Unusual Complication in Attempted Non-surgical Treatment of Pancreatic Bile Duct Stones." Endoscopy, vol. 25, no. 3, 1993, pp. 248-50.
Heinerman M, Mann R, Boeckl O. An unusual complication in attempted non-surgical treatment of pancreatic bile duct stones. Endoscopy. 1993;25(3):248-50.
Heinerman, M., Mann, R., & Boeckl, O. (1993). An unusual complication in attempted non-surgical treatment of pancreatic bile duct stones. Endoscopy, 25(3), 248-50.
Heinerman M, Mann R, Boeckl O. An Unusual Complication in Attempted Non-surgical Treatment of Pancreatic Bile Duct Stones. Endoscopy. 1993;25(3):248-50. PubMed PMID: 8519247.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - An unusual complication in attempted non-surgical treatment of pancreatic bile duct stones. AU - Heinerman,M, AU - Mann,R, AU - Boeckl,O, PY - 1993/3/1/pubmed PY - 1993/3/1/medline PY - 1993/3/1/entrez SP - 248 EP - 50 JF - Endoscopy JO - Endoscopy VL - 25 IS - 3 N2 - This report describes a guidewire fracture during an attempt at endoscopic treatment of pancreatic duct calculi in a patient with chronic pancreatitis, multiple pancreatic duct stenoses and pancreatic duct stones. This patient underwent endoscopic sphincterotomy in order to perform pancreatic duct drainage prior to ESWL. After sphincterotomy, a guidewire was introduced into the main pancreatic duct, but was jammed by the calculi. Neither could the guidewire be removed nor a contrast medium catheter be pushed over it, thus making ESWL impossible. A stronger pull resulted in a fracture of the wire, and a 25 mm long part which could not be removed with a Dormia basket remained in the main pancreatic duct. A Whipple's procedure became necessary as definitive treatment for the pancreatico-lithiasis in this patient. SN - 0013-726X UR - https://www.unboundmedicine.com/medline/citation/8519247/An_unusual_complication_in_attempted_non_surgical_treatment_of_pancreatic_bile_duct_stones_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-2007-1010303 DB - PRIME DP - Unbound Medicine ER -