[Value of ultrasound guided piezoelectric shock wave lithotripsy in the treatment of pancreatic stones].
OBJECTIVE
Most patients with pancreatic duct stones have been treated with lithotripters that use x-ray for stone targeting. We wanted to evaluate ultrasound guided lithotripsy in clinical use.


METHODS
In a prospective clinical study 80 patients (62 men) with symptomatic obstructive chronic pancreatitis were treated with a piezoelectric lithotripter under ultrasound guidance (two in-line 4-MHz-Scanners).


RESULTS
Stone targeting by ultrasound guidance was possible in 76 patients. Fragmentation succeeded in 53 patients (70%). Complete or partial stone clearance was achieved in 43 patients, a success rate of 54%.


CONCLUSIONS
Ultrasound guided shock wave lithotripsy of pancreatic duct stones plays an important role in the treatment of chronic pancreatitis.
Adamek
H E
HE
Medizinische Klinik C, Klinikum der Stadt Ludwigshafen gGmbH.
Buttmann
A
A
Adamek
M U
MU
Jakobs
R
R
Schneider
A R
AR
Riemann
J F
JF
D000293:Adolescent; D000328:Adult; D000368:Aged; D002137:Calculi / Q000000981:diagnostic imaging / Q000628:therapy*; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008096:Lithotripsy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000000981:diagnostic imaging / Q000628:therapy*; D011446:Prospective Studies; D014463:Ultrasonography
Stellenwert der ultraschallgesteuerten piezoelektrischen Stosswellenlithotripsie in der Behandlung von Pankreasgangsteinen.