-
- Mansour A Parsi, Tyler Stevens, Rocio Lopez, and John J Vargo.
- Department of Gastroenterology and Hepatology, Cleveland Clinic, Cleveland, OH 44195, USA. parsim@ccf.org
- Pancreas. 2010 Mar 1; 39 (2): 153-5.
ObjectivesObstructive pancreatic duct stones can cause recurrent attacks of acute pancreatitis and chronic abdominal pain. Use of extracorporeal shock wave lithotripsy (ESWL) for treatment of abdominal pain associated with obstructive pancreatic duct stones has been well documented. However, its effect on prevention of recurrent pancreatitis in this group of patients has not been studied.MethodsPatients with recurrent episodes of acute pancreatitis due to obstructive pancreatic duct stones not amenable to endoscopic removal were prospectively examined. All patients underwent ESWL by a pancreatologist using an electromagnetic shock wave lithotripter. After ESWL, the patients were followed up for recurrence of acute pancreatitis.ResultsTen patients underwent 13 sessions of ESWL. Complete and partial ductal clearances were achieved in 7 and 3 patients, respectively. The mean length of follow-up was 20 months (range, 12-36 months). Three patients had recurrent attacks of acute pancreatitis during the follow-up period, caused by recurrence of obstructive stones in 2 and presence of main duct stricture in 1 patient.ConclusionsExtracorporeal shock wave lithotripsy of obstructive pancreatic duct stones in patients with recurrent attacks of acute pancreatitis can prevent further attacks. New episodes of acute pancreatitis in this group of patients may indicate stone recurrence or presence of strictures.AbbreviationsCT - computed tomography, ERCP - endoscopic retrograde cholangiopancreatography, ESWL - extracorporeal shock wave lithotripsy.
Notes
Knowledge, pearl, summary or comment to share?You can also include formatting, links, images and footnotes in your notes
- Simple formatting can be added to notes, such as
*italics*
,_underline_
or**bold**
. - Superscript can be denoted by
<sup>text</sup>
and subscript<sub>text</sub>
. - Numbered or bulleted lists can be created using either numbered lines
1. 2. 3.
, hyphens-
or asterisks*
. - Links can be included with:
[my link to pubmed](http://pubmed.com)
- Images can be included with:
![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
- For footnotes use
[^1](This is a footnote.)
inline. - Or use an inline reference
[^1]
to refer to a longer footnote elseweher in the document[^1]: This is a long footnote.
.