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Bhandari S et al, 2016: Extracorporeal shock wave lithotripsy: the cornerstone of pancreatic endotherapy.

Bhandari S, Maydeo A.
Baldota Institute of Digestive Sciences, Mumbai, India.

Abstract

No abstract available.

Gastrointest Endosc. 2016 Jul;84(1):79-80. doi: 10.1016/j.gie.2016.03.1494. 

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Comments 1

Hans-Göran Tiselius on Wednesday, 07 September 2016 10:10

This is an editorial comment to an article [1] that was e-published earlier and also commented at that time.

In the present comment it is emphasized that P-ESWL plays an important role together with ERCP, when it is necessary to remove intraductal radiopaque stones. Such stones are very often difficult to access and not always easy to disintegrate or pulverize with endoscopic technique.

The combined use of P-ESWL and ECRP not only eliminated the stones but also had a very positive effect on associated pseudocysts. The important message is that the prerequisites for successful treatment in this way was a lithotripter with integrated C-arm and iso-centric shockwave head and a precise small focus in order to avoid pancreatic injuries caused by scattering of the shockwave energy. These factors are important to keep in mind for urologists when asked to assist with disintegration of intraductal pancreatic stones.

Reference
1. Li BR, Liao Z, Du TT, Ye B, Chen H, Ji JT, Zheng ZH, Hao JF, Ning SB, Wang D, Lin JH, Hu LH, Li ZS.
Extracorporeal shock wave lithotripsy is a safe and effective treatment for pancreatic stones coexisting with pancreatic pseudocysts.
Gastrointest Endosc. 2016 Jul;84(1):69-78. doi: 10.1016/j.gie.2015.10.026. Epub 2015 Nov 2

This is an editorial comment to an article [1] that was e-published earlier and also commented at that time. In the present comment it is emphasized that P-ESWL plays an important role together with ERCP, when it is necessary to remove intraductal radiopaque stones. Such stones are very often difficult to access and not always easy to disintegrate or pulverize with endoscopic technique. The combined use of P-ESWL and ECRP not only eliminated the stones but also had a very positive effect on associated pseudocysts. The important message is that the prerequisites for successful treatment in this way was a lithotripter with integrated C-arm and iso-centric shockwave head and a precise small focus in order to avoid pancreatic injuries caused by scattering of the shockwave energy. These factors are important to keep in mind for urologists when asked to assist with disintegration of intraductal pancreatic stones. Reference 1. Li BR, Liao Z, Du TT, Ye B, Chen H, Ji JT, Zheng ZH, Hao JF, Ning SB, Wang D, Lin JH, Hu LH, Li ZS. Extracorporeal shock wave lithotripsy is a safe and effective treatment for pancreatic stones coexisting with pancreatic pseudocysts. Gastrointest Endosc. 2016 Jul;84(1):69-78. doi: 10.1016/j.gie.2015.10.026. Epub 2015 Nov 2
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