Electrohydraulic lithotripsy (EHL) and laser lithotripsy are both well-established methods for the treatment of biliary and genitourinary stones. Several retrospective series have described successful pancreatoscopy-guided EHL for intraductal stones in symptomatic chronic pancreatitis. <\/p>\n\n\n\n
In this prospective, single-center, consecutive case series, the authors report the efficacy and safety for EHL used as first-line therapy for 34 patients with main pancreatic duct stones >5 mm in size located in the head or neck of the gland. Prior pancreatoscopy and stent placement were pursued in all patients; 3 preparatory procedures yielded stone clearance without EHL (9%), and 5 failed to access the pancreatic duct (15%). <\/p>\n\n\n\n
Partial or complete fragmentation was achieved in 24 of 31 patients (77%) and 24 of 26 (92.3%) of those successfully cannulated. A median of 2 ERCPs (interquartile range [IQR], 2) and 1 EHL (IQR, 1) yielded partial stone clearance in 5 patients (20%) and complete clearance in 20 (80%). Mild acute pancreatitis occurred in 7 patients and was conservatively treated in all. Izbicki pain scores declined significantly from 62.3 \u00b1 23.1 (n=25\/25) to 27.5 \u00b1 35.0 (22\/25) at the 6-month assessment.<\/p>\n","protected":false},"excerpt":{"rendered":"
Electrohydraulic lithotripsy (EHL) and laser lithotripsy are both well-established methods for the treatment of biliary and genitourinary stones. Several retrospective series have described successful pancreatoscopy-guided EHL for intraductal stones in symptomatic chronic pancreatitis. In this prospective, single-center, consecutive case series, the authors report the efficacy and safety for EHL used as first-line therapy for 34 … Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,67],"tags":[856,3137,3138,2128,3140,3139],"class_list":["post-11581","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-bauchspeicheldruese-pankreas","tag-ehl","tag-electrohydraulic-lithotripsy","tag-laser-lithotripsy","tag-pancreatobiliary","tag-pancreatoscopy","tag-stones-2"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/11581","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=11581"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=11581"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=11581"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}