A Case of Pancreatolithiasis Treated by a Combination of Endoscopic Extraction and Extracorporeal Shock Wave Lithotripsy

Kazumu OKUSHIMA, Saburo NAKAZAWA, Kenji YAMAO, Junji YOSHINO, Kazuo INUI, Hitoshi YAMACHIKA, Naoto KANEMAKI, Teruhiko IWASE, Katsuhiko KISHI, Masao FUJIMOTO, Masumi WATANABE, Ken HIRANO, Kou HARADA, Hironao MIYOSHI, Yuji NIMURA

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

We report on the case of a 50‐year‐old woman with idiopathic chronic calcifying pancreatitis and diabetes. An endoscopic retrograde pancreatography showed a stone with a diameter of 23 mm and multiple small stones in the head of the pancreas. An endoscopic pancreatic sphincterotomy was performed. However, the stone could not be removed endoscopically. So we performed an extracorporeal shock wave lithotripsy (ESWL) using a Tripter X1. The stone was located in the shock wave focus by fluoroscopy. Under intravenous sedation, the patient received 5 ESWL sessions (a total of 11700 shock waves with an energy of 18kv). ESWL permitted stone disintegration and successful endoscopic extraction of the fragments. Complete clearance in the main pancreatic duct was achieved. No severe complications were observed. After treatment, an improvement in the PFD test was seen. ESWL is an effective method for treatment of endoscopically unextractable pancreatic ductal stones.

Original languageEnglish
Pages (from-to)444-449
Number of pages6
JournalDigestive Endoscopy
Volume4
Issue number4
DOIs
Publication statusPublished - 10-1992

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

Fingerprint Dive into the research topics of 'A Case of Pancreatolithiasis Treated by a Combination of Endoscopic Extraction and Extracorporeal Shock Wave Lithotripsy'. Together they form a unique fingerprint.

Cite this