Extracorporeal shock wave lithotripsy and endotherapy for pancreatic calculi—a large single center experience.

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dc.contributor.authorTandan, Manu
dc.contributor.authorReddy, Duvvuru Nageshwar
dc.contributor.authorSantosh, Darisetty
dc.contributor.authorVinod, Koppoju
dc.contributor.authorRamchandani, Mohan
dc.contributor.authorRajesh, Gupta
dc.contributor.authorRama, Kotla
dc.contributor.authorLakhtakia, Sandeep
dc.contributor.authorBanerjee, Rupa
dc.contributor.authorPratap, Nitesh
dc.contributor.authorRao, Guduru Venkat
dc.date.accessioned2012-09-14T05:05:04Z
dc.date.available2012-09-14T05:05:04Z
dc.date.issued2010-07
dc.description.abstractAim Large pancreatic ductal calculi and pain are a feature of chronic calcific pancreatitis (CCP) in the tropics. This large single center study evaluates the role of extracorporeal shock wave lithotripsy (ESWL) in fragmentation of large pancreatic stones and relief of pain in patients with CCP. Methods Patients with CCP presenting with pain and large pancreatic duct (PD) calculi (>5 mm diameter) not amenable to extraction at routine endoscopic retrograde cholangio pancreatography (ERCP) were taken up for ESWL using a 3rd generation lithotripter. Stones in the head and body of pancreas were targeted at ESWL; 5,000 shocks were given per session. The calculi were fragmented to <3 mm size and then cleared by endotherapy. Pancreatic duct stents were deployed when indicated. A total of 1,006 patients underwent ESWL. Complete clearance was achieved in 762 (76%), partial clearance in 173 (17%) and unsuccessful in the rest. More than 962 (90%) of patients needed less than three sessions of ESWL. At 6 months, 711 (84%) of 846 patients who returned for follow up had significant relief of pain with a decrease in analgesic use. Complications were mild and minimal. Conclusion ESWL is an effective and safe modality for fragmentation of large PD calculi in patients with CCP.en_US
dc.identifier.citationTandan Manu, Reddy Duvvuru Nageshwar, Santosh Darisetty, Vinod Koppoju, Ramchandani Mohan, Rajesh Gupta, Rama Kotla, Lakhtakia Sandeep, Banerjee Rupa, Pratap Nitesh, Rao Guduru Venkat. Extracorporeal shock wave lithotripsy and endotherapy for pancreatic calculi—a large single center experience. Indian Journal of Gastroenterology. 2010 Jul-Aug; 29(4): 143-148.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/141360
dc.language.isoenen_US
dc.source.urihttps://www.indianjgastro.com/IJG_pdf/july2010/July_4.pdfen_US
dc.subjectChronic calcific pancreatitisen_US
dc.subjectEndoscopic retrograde pancreatographyen_US
dc.subjectLarge pancreatic calculien_US
dc.subjectTropical calcific pancreatitisen_US
dc.titleExtracorporeal shock wave lithotripsy and endotherapy for pancreatic calculi—a large single center experience.en_US
dc.typeArticleen_US
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