Publications by authors named "Koppoju Vinod"
Article Synopsis
- A study investigated the effectiveness of endoscopic decompression (using extracorporeal shock-wave lithotripsy (ESWL) and endoscopic retrograde pancreatography (ERP)) for relieving pain in patients with chronic pancreatitis and intraductal stones.
- 106 patients participated, with the study showing improved pain relief at 12 weeks for those receiving the treatment compared to the sham group, evidenced by a mean difference of -0.7 on a pain scale.
- However, the benefits were not maintained at 24 weeks, and while the treatment group had more pain-free days and reduced opioid use at the 12-week mark, overall differences in longer-term pain relief were not significant.
Background: Extracorporeal shockwave lithotripsy (ESWL) and/or endoscopic retrograde cholangiopancreatography (ERCP) are recommended as first-line therapy for painful uncomplicated chronic pancreatitis with obstructed main pancreatic duct (MPD) in the pancreas head/body. However, predictors of pain relief after ESWL are unknown. We evaluated independent predictors of persistent pain in patients who underwent ESWL for chronic pancreatitis.
View Article and Find Full Text PDFBackground And Aim: Even though ductal interventions in chronic pancreatitis (CP) are known to improve pain, its impact on diabetes is unclear. In this cohort study, we evaluated the impact of ductal interventions on diabetes in these patients.
Methods: Consecutive patients with CP visiting the pancreas clinic between August 1, 2011, and July 21, 2012, were enrolled and followed until December 2018.
Aim: 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.