[Initial experience with ESWL therapy of pancreatic duct calculi].
Extracorporeal shock wave lithotripsy of pancreatic stones was performed in four patients with chronic pancreatitis and a dilated duct system harbouring stones 5-12 mm in diameter. The stones were disintegrated by shock waves using a Dornier lithotripter in one or more sessions. Disintegration of stones was achieved in 4/4 patients, initial (6-11 months) relief of pain in 3/4 patients, and total clearance of pancreatic duct in 3/4 patients. No complications were observed. In the first patient in whom ESWL was not completely successful, underwent an operation: a longitudinal pancreato-gastrostomy and the stones were found completely disintegrated. From these early data they conclude that ESWL of pancreatic duct stones is a provisional new alternative for surgery in the treatment of chronic pancreatitis.
Flautner
L
L
Semmelweis OTE I. sz. Sebészeti Klinika, Budapest.
Bodnár
A
A
Papp
J
J
Weszelits
V
V
Pulay
I
I
Szabó
J
J
D002137:Calculi / Q000000981:diagnostic imaging / Q000628:therapy*; D005260:Female; D006801:Humans; D008096:Lithotripsy; D008297:Male; D010183:Pancreatic Ducts / Q000000981:diagnostic imaging; D014463:Ultrasonography
A pancreas vezetékkövek lökéshullám (ESWL) kezelésének kezdeti tapasztalatai.