scholarly journals Lithotripsy of Pancreatic Stones in a Patient with Cystic Fibrosis: Successful Treatment of Abdominal Pain

1992 ◽  
Vol 6 (1) ◽  
pp. 25-28
Author(s):  
AA Weiss ◽  
JM Greig ◽  
S Fache
Keyword(s):  
Cystic Fibrosis ◽  
Abdominal Pain ◽  
Chronic Pancreatitis ◽  
Pancreatic Duct ◽  
Successful Treatment ◽  
Indian Woman ◽  
Pancreatic Stones ◽  
Pancreatic Duct Stricture ◽  
Duct Stricture

Endoscopic pancreatic sphincteroromy and removal of pancreatic stones has been helpful in selected cases of patients with chronic pancreatitis. This article reports the case of an 18-year-old native Indian woman with cystic fibrosis who was experiencing pain related to pancreatitis, complicated by pancreatic duct stricture and lithiasis. Subsequent dilation of the pancreatic stricture and lithotripsy of the pancreatic ductal stones successfully eliminated the abdominal pain

scholarly journals 10 Fr S-Type Plastic Pancreatic Stents in Chronic Pancreatitis Are Effective for the Treatment of Pancreatic Duct Strictures and Pancreatic Stones

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Ken Ito ◽  
Naoki Okano ◽  
Seiichi Hara ◽  
Kensuke Takuma ◽  
Kensuke Yoshimoto ◽  
...  
Keyword(s):  
Chronic Pancreatitis ◽  
Pancreatic Duct ◽  
Main Pancreatic Duct ◽  
Pancreatic Stones ◽  
Pancreatic Juice Cytology ◽  
Pancreatic Duct Stricture ◽  
Duct Stricture ◽  
Pancreatic Sphincterotomy

Aim. Endoscopic pancreatic stenting for refractory pancreatic duct strictures associated with impacted pancreatic stones in chronic pancreatitis cases has yielded conflicting results. We retrospectively evaluated the efficacy of endoscopic treatment in chronic pancreatitis patients with pancreatic duct strictures. Methods. Pancreatic sphincterotomy, dilatation procedures, pancreatic brush cytology, and pancreatic juice cytology were routinely performed, and malignant diseases were excluded. After gradual dilatation, a 10 Fr plastic pancreatic stent was inserted. The stents were replaced every 3 months and removed after the strictures were dilated. Statistical analyses were performed to determine the risk of main pancreatic duct restenosis. Results. Endoscopic pancreatic stents were successfully placed in 41 of a total of 59 patients (69.5%). The median duration of pancreatic stenting was 276 days. Pain relief was obtained in 37 of 41 patients (90.2%). Seventeen patients (41.5%) had recurrence of main pancreatic duct stricture, and restenting was performed in 16 patients (average placement period 260 days). During the follow-up period, pancreatic cancer developed in three patients (5.1%). Multivariate analysis revealed that the presence of remnant stones after stenting treatment was significantly associated with a higher rate of main pancreatic duct restenosis (p=0.03). Conclusion. The use of 10 Fr S-type plastic pancreatic stents with routine exchange was effective for both short-term and long-term outcomes in chronic pancreatitis patients with benign pancreatic duct strictures and impacted pancreatic stones.

Efficacy of s-type stents for the treatment of the main pancreatic duct stricture in patients with chronic pancreatitis

2006 ◽  
Vol 41 (6) ◽  
pp. 744-750 ◽  
Author(s):  
Takeshi Ishihara ◽  
Taketo Yamaguchi ◽  
Katsushi Seza ◽  
Hiroshi Tadenuma ◽  
Hiromitsu Saisho
Keyword(s):  
Chronic Pancreatitis ◽  
Pancreatic Duct ◽  
Main Pancreatic Duct ◽  
Pancreatic Duct Stricture ◽  
Duct Stricture

scholarly journals Rapid formation of a radiolucent pancreatic stone: a case report (with video)

2020 ◽  
Vol 48 (9) ◽  
pp. 030006052095141
Author(s):  
Dan Wang ◽  
Ya-Wei Bi ◽  
Hao Xu ◽  
Teng Wang ◽  
Zhao-Shen Li ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Pancreatic Duct ◽  
Pancreatic Enzyme ◽  
Plastic Stents ◽  
Recurrent Acute Pancreatitis ◽  
Pancreatic Stones ◽  
Enzyme Replacement ◽  
Pancreatic Fluid ◽  
Pancreatic Duct Stricture ◽  
Duct Stricture

Background Over 90% of pancreatic stones are radiopaque and can be treated with endoscopy or surgery. However, radiolucent stones are different than radiopaque stones in nature and formation, and therefore, treatment varies. Case presentation: A 25-year-old woman was admitted because of recurrent acute pancreatitis. Imaging examinations confirmed the diagnosis of chronic pancreatitis (CP), and which revealed the existence of radiolucent stones. Endoscopic retrograde cholangiopancreatography (ERCP) was performed and abundant protein-like radiolucent stones were extracted. Three 10F, 7-cm plastic stents were placed. However, the stents were completely occluded by radiolucent stones 1 month later. A nasopancreatic tube was then inserted and flushed regularly, but protein-like stones formed continuously. After multidisciplinary consultation, the following conservative treatment strategy was applied: 1) no more endotherapy; 2) a diet with 40% to 50% of calories from fat was recommended; 3) no pancreatic enzyme replacement therapy; and 4) regular exercise. The above advice aimed to stimulate the secretion of pancreatic fluid to achieve auto-flushing of the pancreatic duct and prevent protein-like stones from depositing. No acute pancreatitis recurred during the 5-year follow-up. Conclusions This strategy was effective for auto-flushing the pancreatic duct in patients with radiolucent pancreatic stones after the main pancreatic duct stricture was resolved.

scholarly journals Two-step recanalization technique for a pancreatic duct stricture complicated by massive pancreatic stones

Endoscopy ◽  
2018 ◽  
Vol 50 (09) ◽  
pp. E246-E247
Author(s):  
Takeshi Ogura ◽  
Atsushi Okuda ◽  
Miyuki Imanishi ◽  
Rieko Kamiyama ◽  
Kazuhide Higuchi
Keyword(s):  
Pancreatic Duct ◽  
Pancreatic Stones ◽  
Pancreatic Duct Stricture ◽  
Duct Stricture

Tu1358 PILOT STUDY OF DUMBBELL-TYPE COVERED SELF-EXPANDABLE METAL STENT DEPLOYMENT FOR BENIGN PANCREATIC DUCT STRICTURE

2019 ◽  
Vol 89 (6) ◽  
pp. AB589
Author(s):  
Masanori Yamada ◽  
Takeshi Ogura ◽  
Nobu Nishioka ◽  
Akira Miyano ◽  
Rieko Kamiyama ◽  
...  
Keyword(s):  
Pilot Study ◽  
Pancreatic Duct ◽  
Metal Stent ◽  
Stent Deployment ◽  
Pancreatic Duct Stricture ◽  
Duct Stricture ◽  
Self Expandable Metal Stent
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