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Review
. 2023 Oct;33(4):821-829.
doi: 10.1016/j.giec.2023.04.001. Epub 2023 May 15.

Management of Pancreatic Duct Stones: Nonextracorporeal Approach

Christian Gerges  1 , Torsten Beyna  2 , Horst Neuhaus  3
Affiliations
Review

Management of Pancreatic Duct Stones: Nonextracorporeal Approach

Christian Gerges et al. Gastrointest Endosc Clin N Am. 2023 Oct.

Abstract

Chronic pancreatitis (CP) is an ongoing inflammatory disease with most patients developing pancreatic calculi during their course of disease. Extracorporeal shock wave lithotripsy (ESWL) is a first-line treatment option in patients with large lumen obstructing pancreatic duct (PD) stones. In patients with CP and PD dilatation, digital single-operator pancreatoscopy (DSOP)-guided lithotripsy seems to be an appealing option to ESWL and surgery. DSOP-guided lithotripsy for the treatment of large symptomatic PD-stones has been demonstrated to be safe, technically, and clinically effective, and should be regarded as an alternative endoscopic treatment of certain patients.

Keywords: Chronic pancreatitis; Electrohydraulic lithotripsy; Pancreatic calculi; Pancreatic duct stones; Pancreatoscopy.

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