Ultrasound-Guided Extracorporeal Shock Wave Lithotripsy of Pancreatic Ductal Stones: Six Years’ Experience

Extracorporeal shock wave lithotripsy (ESWL) and endoscopic sphincterotomy (EST) was performed in 35 patients suffering from pancreatic duct stones. Calculi disintegration and resolution of obstruction were achieved in all cases. Completely stone-free ducts were achieved in 16 patients (46%) while s...

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Main Authors: Werner Johanns, Christian Jakobeit, Lucas Greiner, Jan Janssen
Format: Article
Language:English
Published: Wiley 1996-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/1996/240781
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author Werner Johanns
Christian Jakobeit
Lucas Greiner
Jan Janssen
author_facet Werner Johanns
Christian Jakobeit
Lucas Greiner
Jan Janssen
author_sort Werner Johanns
collection DOAJ
description Extracorporeal shock wave lithotripsy (ESWL) and endoscopic sphincterotomy (EST) was performed in 35 patients suffering from pancreatic duct stones. Calculi disintegration and resolution of obstruction were achieved in all cases. Completely stone-free ducts were achieved in 16 patients (46%) while some peripheral asymptomatic stone material remained in 19 (54%). Dilation of the main pancreatic duct was reduced in 29 patients (83%). Twelve patients (34%) became completely asymptomatic and 17 (49%) reported a marked reduction of pain. Pancreatogenic steatorrhea ceased and 18 patients (51%) gained weight. Pathological glucose tolerance returned to normal in one patient. No major complications were observed. The combination of ESWL and EST is a successful, nonoperative, new treatment in pancreatic stone disease.
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series Canadian Journal of Gastroenterology
spelling doaj-art-8d838ccac720459cb654267d8a579f492025-02-03T05:59:55ZengWileyCanadian Journal of Gastroenterology0835-79001996-01-0110747147510.1155/1996/240781Ultrasound-Guided Extracorporeal Shock Wave Lithotripsy of Pancreatic Ductal Stones: Six Years’ ExperienceWerner Johanns0Christian Jakobeit1Lucas Greiner2Jan Janssen3Medical Clinic A – Gastroenterology, Municipal Hospital Wuppertal, University of Witten-Herdecke, Wuppertal, GermanyMedical Clinic A – Gastroenterology, Municipal Hospital Wuppertal, University of Witten-Herdecke, Wuppertal, GermanyMedical Clinic A – Gastroenterology, Municipal Hospital Wuppertal, University of Witten-Herdecke, Wuppertal, GermanyMedical Clinic A – Gastroenterology, Municipal Hospital Wuppertal, University of Witten-Herdecke, Wuppertal, GermanyExtracorporeal shock wave lithotripsy (ESWL) and endoscopic sphincterotomy (EST) was performed in 35 patients suffering from pancreatic duct stones. Calculi disintegration and resolution of obstruction were achieved in all cases. Completely stone-free ducts were achieved in 16 patients (46%) while some peripheral asymptomatic stone material remained in 19 (54%). Dilation of the main pancreatic duct was reduced in 29 patients (83%). Twelve patients (34%) became completely asymptomatic and 17 (49%) reported a marked reduction of pain. Pancreatogenic steatorrhea ceased and 18 patients (51%) gained weight. Pathological glucose tolerance returned to normal in one patient. No major complications were observed. The combination of ESWL and EST is a successful, nonoperative, new treatment in pancreatic stone disease.http://dx.doi.org/10.1155/1996/240781
spellingShingle Werner Johanns
Christian Jakobeit
Lucas Greiner
Jan Janssen
Ultrasound-Guided Extracorporeal Shock Wave Lithotripsy of Pancreatic Ductal Stones: Six Years’ Experience
Canadian Journal of Gastroenterology
title Ultrasound-Guided Extracorporeal Shock Wave Lithotripsy of Pancreatic Ductal Stones: Six Years’ Experience
title_full Ultrasound-Guided Extracorporeal Shock Wave Lithotripsy of Pancreatic Ductal Stones: Six Years’ Experience
title_fullStr Ultrasound-Guided Extracorporeal Shock Wave Lithotripsy of Pancreatic Ductal Stones: Six Years’ Experience
title_full_unstemmed Ultrasound-Guided Extracorporeal Shock Wave Lithotripsy of Pancreatic Ductal Stones: Six Years’ Experience
title_short Ultrasound-Guided Extracorporeal Shock Wave Lithotripsy of Pancreatic Ductal Stones: Six Years’ Experience
title_sort ultrasound guided extracorporeal shock wave lithotripsy of pancreatic ductal stones six years experience
url http://dx.doi.org/10.1155/1996/240781
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AT lucasgreiner ultrasoundguidedextracorporealshockwavelithotripsyofpancreaticductalstonessixyearsexperience
AT janjanssen ultrasoundguidedextracorporealshockwavelithotripsyofpancreaticductalstonessixyearsexperience