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

doi:10.1111/j.1443-1661.1992.tb00112.x

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

Gastroenterology

Research output: Contribution to journal › Article › peer-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 language	English
Pages (from-to)	444-449
Number of pages	6
Journal	Digestive Endoscopy
Volume	4
Issue number	4
DOIs	https://doi.org/10.1111/j.1443-1661.1992.tb00112.x
Publication status	Published - 10-1992

All Science Journal Classification (ASJC) codes

Radiology Nuclear Medicine and imaging
Gastroenterology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1111/j.1443-1661.1992.tb00112.x

Cite this

OKUSHIMA, K., NAKAZAWA, S., YAMAO, K., YOSHINO, J., INUI, K., YAMACHIKA, H., KANEMAKI, N., IWASE, T., KISHI, K., FUJIMOTO, M., WATANABE, M., HIRANO, K., HARADA, K., MIYOSHI, H., & NIMURA, Y. (1992). A Case of Pancreatolithiasis Treated by a Combination of Endoscopic Extraction and Extracorporeal Shock Wave Lithotripsy. Digestive Endoscopy, 4(4), 444-449. https://doi.org/10.1111/j.1443-1661.1992.tb00112.x

@article{bd32f6ac5d2a4c5ebc1cdcba10cf12ea,

title = "A Case of Pancreatolithiasis Treated by a Combination of Endoscopic Extraction and Extracorporeal Shock Wave Lithotripsy",

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.",

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

year = "1992",

month = oct,

doi = "10.1111/j.1443-1661.1992.tb00112.x",

language = "English",

volume = "4",

pages = "444--449",

journal = "Digestive Endoscopy",

issn = "0915-5635",

publisher = "Wiley-Blackwell",

number = "4",

}

OKUSHIMA, K, NAKAZAWA, S, YAMAO, K, YOSHINO, J, INUI, K, YAMACHIKA, H, KANEMAKI, N, IWASE, T, KISHI, K, FUJIMOTO, M, WATANABE, M, HIRANO, K, HARADA, K, MIYOSHI, H & NIMURA, Y 1992, 'A Case of Pancreatolithiasis Treated by a Combination of Endoscopic Extraction and Extracorporeal Shock Wave Lithotripsy', Digestive Endoscopy, vol. 4, no. 4, pp. 444-449. https://doi.org/10.1111/j.1443-1661.1992.tb00112.x

TY - JOUR

T1 - A Case of Pancreatolithiasis Treated by a Combination of Endoscopic Extraction and Extracorporeal Shock Wave Lithotripsy

AU - OKUSHIMA, Kazumu

AU - NAKAZAWA, Saburo

AU - YAMAO, Kenji

AU - YOSHINO, Junji

AU - INUI, Kazuo

AU - YAMACHIKA, Hitoshi

AU - KANEMAKI, Naoto

AU - IWASE, Teruhiko

AU - KISHI, Katsuhiko

AU - FUJIMOTO, Masao

AU - WATANABE, Masumi

AU - HIRANO, Ken

AU - HARADA, Kou

AU - MIYOSHI, Hironao

AU - NIMURA, Yuji

PY - 1992/10

Y1 - 1992/10

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=0026726995&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0026726995&partnerID=8YFLogxK

U2 - 10.1111/j.1443-1661.1992.tb00112.x

DO - 10.1111/j.1443-1661.1992.tb00112.x

M3 - Article

AN - SCOPUS:0026726995

SN - 0915-5635

VL - 4

SP - 444

EP - 449

JO - Digestive Endoscopy

JF - Digestive Endoscopy

IS - 4

ER -

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

Abstract

All Science Journal Classification (ASJC) codes

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this