Theme |
Advances in Diagnosis and Endoscopic Treatment for Pancreatic and Biliary Lesion |
Title |
Extracorporeal Shockwave Lithotripsy and Endoscopic Therapy for Pancreatic Stones |
Author |
Takeshi Ishihara |
Department of Medicine and Clinical Oncology, Graduate School of Medicine, Chiba University |
Author |
Taketo Yamaguchi |
Department of Medicine and Clinical Oncology, Graduate School of Medicine, Chiba University |
Author |
Hiroshi Tadenuma |
Department of Medicine and Clinical Oncology, Graduate School of Medicine, Chiba University |
Author |
Katsuyuki Tawada |
Department of Medicine and Clinical Oncology, Graduate School of Medicine, Chiba University |
Author |
Masato Matuyama |
Department of Medicine and Clinical Oncology, Graduate School of Medicine, Chiba University |
Author |
Osamu Yokosuka |
Department of Medicine and Clinical Oncology, Graduate School of Medicine, Chiba University |
[ Summary ] |
A total of 117 patients with pancreatic stones underwent ESWL and endoscopic therapy in our institute. Immediate pain relief was achieved in 97 % of cases and complete removal of stones was achieved in 56 %. During long term follow up, pain relief was maintained in 70 % of the cases. Pain recurred more frequently in patients with incomplete removal than in those with complete removal (p<0.05). ESWL and endoscopic therapy for pancreatic stones proved to be effective for long term pain relief, especially for patients in whom pancreatic stones were removed completely during initial therapy. |