STORZ MEDICAL – Literature Databases
STORZ MEDICAL – Literature Databases
Literature Databases
Literature Databases

Hashmi S. et. al., 2023: Extracorporeal shock wave lithotripsy for pancreatic duct stones in patients with chronic pancreatitis: Are we underutilizing a new technology?

Departments of Surgery (Hashmi, Dushinski, Sutherland, Ball) and Medicine (Mohamed), University of Calgary, Calgary, Alta.
Departments of Surgery (Hashmi, Dushinski, Sutherland, Ball) and Medicine (Mohamed), University of Calgary, Calgary, Alta.

Abstract

The progressive inflammatory nature of chronic pancreatitis and its sparse therapeutic toolbox remain obstacles in offering patients durable solutions for their symptoms. Obstruction of the main pancreatic duct by either strictures or stones represents a scenario worthy of therapeutic focus, as nearly all patients with pancreatitis eventually have intraductal stones. A more recent option for removal of main duct stones is extracorporeal shock wave lithotripsy (ESWL). In an effort to explore the role of ESWL in a Canadian setting, we evaluated our initial experience over an 8-year period (2011-2019).
Can J Surg. 2023 Jul 27;66(4):E396-E398. doi: 10.1503/cjs.017121. Print 2023 Jul-Aug. PMID: 37500103. FREE ARTICLE

0
 

Comments 1

Peter Alken on Friday, 26 January 2024 09:50

I think the answer to the title question is YES for the authors' department with only 32 patients treated in 8 years between 2011 and 2019. Otherwise, as stated by them, ESWL for pancreatic stones is routine: “ Multiple studies have now confirmed that large proportions of patients treated with ESWL become pain free for substantial durations of time following this procedure. More specifically, a retrospective analysis of 5124 patients who were not amenable to
endoscopy- based stone removal (i.e., ERCP) reported that 83% were pain free at 6 months. These findings are also supported by other smaller unifocal series as well as data comparing ESWL to ERCP-based therapy (i.e., single-operator pancreatoscopy with intraductal [intracorporeal] lithotripsy [SOPIL]).”
Peter Alken

I think the answer to the title question is YES for the authors' department with only 32 patients treated in 8 years between 2011 and 2019. Otherwise, as stated by them, ESWL for pancreatic stones is routine: “ Multiple studies have now confirmed that large proportions of patients treated with ESWL become pain free for substantial durations of time following this procedure. More specifically, a retrospective analysis of 5124 patients who were not amenable to endoscopy- based stone removal (i.e., ERCP) reported that 83% were pain free at 6 months. These findings are also supported by other smaller unifocal series as well as data comparing ESWL to ERCP-based therapy (i.e., single-operator pancreatoscopy with intraductal [intracorporeal] lithotripsy [SOPIL]).” Peter Alken
Monday, 20 May 2024