Pilot study of pancreatoscopic lithotripsy using a 5-fr instrument: selected patients may benefit.

摘要: Background and study aims Despite advances in endoscopic procedures extracorporeal shock wave lithotripsy (ESWL), the removal of impacted pancreatic duct stones demands a certain amount time. The aim this was to determine which patient group might suitable for our single-session treatment. Patients methods included 17 patients who were symptomatic due relapsing pancreatitis with stones. A 5-Fr miniscope inserted via papilla stone pancreatoscopic laser (PSLL) performed, under direct vision, only one session. If complete extraction not achieved PSLL, ESWL adopted subsequent sessions. Results Complete using PSLL single session eight patients. Single-session smaller than mm diameter no severe stricture or sharp bend proximal Conclusions Our treatment useful selected group.