Tandan M. et al., 2023: Management of Pancreatic Duct Stones: Extracorporeal Approach

Tandan M, Pal P, Reddy DN.
Asian Institute of Gastroenterology, 6-3-661, Somajiguda, Hyderabad, TG 500082, India.
Asian Institute of Gastroenterology, 6-3-661, Somajiguda, Hyderabad, TG 500082, India

Abstract

Stone clearance with extracorporeal shock wave lithotripsy is a safe and effective procedure for large pancreatic calculi not extractable by the standard endoscopic retrograde cholangiopancreatography techniques. In properly selected patients, this minimally invasive approach should be offered as the first line of therapy instead of surgery. Complete stone clearance can be achieved in three-fourths with long-term pain relief in two-thirds of patients. Re-intervention is required in less than half of the patients. Future studies should compare the extracorporeal approach with intraductal lithotripsy using the pancreatoscope.

Gastrointest Endosc Clin N Am. 2023 Oct;33(4):807-820. doi: 10.1016/j.giec.2023.04.006. Epub 2023 May 23. PMID: 37709412 Review