Video 1The case report is presented in the video, with a description of the patient's clinical course along with a set of endoscopic interventions including the use of per-oral pancreatoscopy with holmium laser therapy for stricturoplasty and stone fragmentation.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9349054 | PMC |
| http://dx.doi.org/10.1016/j.vgie.2022.01.006 | DOI Listing |
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Pancreatoscopy-Guided Lithotripsy for Pancreatic Duct Stones: A Systematic Review and Meta-Analysis.
Turk J Gastroenterol
November 2024
Department of Gastroenterology, Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Article Synopsis
- Pancreatic duct stones (PDS) arise from chronic pancreatitis and can lead to severe pain, disease progression, and higher pancreatic cancer risk; pancreatoscopy-guided lithotripsy is a secondary endoscopic treatment for PDS.
- A systematic review of 17 studies involving 441 patients revealed a complete stone clearance rate of 81% and a clinical success rate of 90%, with a 12% rate of adverse events.
- The findings indicate that pancreatoscopy-guided lithotripsy is both a safe and effective option for treating pancreatic duct stones, showing high success rates and manageable complications.
Current status and future perspectives for endoscopic treatment of local complications in chronic pancreatitis.
Dig Endosc
October 2024
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Ohashi Medical Center, Tokyo, Japan.
Article Synopsis
- Chronic pancreatitis is a progressive disease involving fibrosis and loss of function in the pancreas, and treatment includes lifestyle changes, diet, medications, and various therapies.
- Endoscopic treatments are preferred as first-line options due to their minimally invasive nature, providing effective pain relief and management of complications like pancreatic stones.
- Recent advancements in endoscopic techniques, such as shock wave lithotripsy and pancreatoscopy-guided methods, have enhanced the management of local complications and pancreatic pseudocysts associated with chronic pancreatitis.
Pancreatoscopy-Guided Endotherapies for Pancreatic Diseases.
Gastrointest Endosc Clin N Am
July 2024
Division of Gastroenterology and Hepatology, University of Colorado Anschutz Medical Campus, 1635 Aurora Court, Mail Stop F 735, Aurora, CO 80045, USA. Electronic address:
Per-oral pancreatoscopy (POP) is a pancreas-preserving modality that allows for targeted pancreatic duct interventions, particularly in cases where standard techniques fail. POP specifically has an emerging role in the diagnosis, risk stratification, and disease extent determination of main duct intraductal papillary mucinous neoplasms (IPMNs). It has also been successfully used for laser ablation of IPMNs in poor surgical candidates, lithotripsy for complex stone disease, and laser stricturoplasty.
View Article and Find Full Text PDFPancreatoscopy-guided laser lithotripsy to manage obstructing intraductal pancreatic calculi.
VideoGIE
November 2023
University of NSW Medical School, Sydney, New South Wales, Australia.
Video 1Pancreatoscopy-guided laser lithotripsy to manage obstructing intraductal pancreatic calculi.
View Article and Find Full Text PDFPer-oral pancreatoscopy-guided lithotripsy vs. extracorporeal shock wave lithotripsy for treating refractory main pancreatic duct stones in chronic pancreatitis: Protocol for an open-label multi-center randomized clinical trial.
Pancreatology
December 2022
Division of Gastroenterology and Hepatology, University of Colorado Anschutz Medical Campus, Aurora, CO, United States. Electronic address:
Backgrounds/objectives: Patients with chronic pancreatitis may develop pancreatic duct stones that can obstruct outflow leading to ductal hypertension and pain. Both endoscopic retrograde pancreatography (ERP) with per-oral pancreatoscopy (POP) and intraductal lithotripsy and extracorporeal shock wave lithotripsy (ESWL) are feasible options to attempt ductal stone clearance. This study aims to compare POP-guided lithotripsy with ESWL in the management of refractory symptomatic main pancreatic duct stones.
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