Hasnyálmirigy-vezeték-kövek lökéshullám-kezelése, mint a komplex endoszkópos terápia része.

Translated title of the contribution: Extracorporeal shock wave lithotripsy of pancreatic stones as a part of complex endoscopic therapy

Tibor Gyökeres, Richárd Schwab, Mária Burai, Róbert Petrik, Ferenc Páczelt, A. Pap

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

INTRODUCTION: The authors report on ESWL treatment of 29 patients suffering from pancreatolithiasis. PATIENTS/METHODS: The mean age was 46.5 (23-76) years, there were 7 women and 22 men. The etiology of chronic calcifying pancreatitis was alcohol in 24 (82.7%) cases, idiopathic in 3 (10.3%) patients and there was one familiar and one pancreas divisum case. The indication of ESWL was abdominal pain in 27/29 (93.1%) cases. During ERCP pancreatic sphincterotomy was performed and a nasopancreatic catheter was placed for a continuous lavage with isotonic citrate at a rate of 0.5-1 ml/min for a mean of 6 days. The mean number of ESWLs was 2.2. RESULTS: Fragmentation was achieved in 28/29 (96.5%) patients. There were five (17.5%) complications, fever in three cases, one case of acute relapse of pancreatitis, and one hematuria. The mean number of therapeutic ERCPs was 2.32 (0-7). Overall a complete duct clearance was achieved in 62% (18/29) of the patients, partial clearance in 13.9% (4/29) but the ESWL was unsuccessful in 24.1% (7/29) of the cases. Early pain relief occurred in almost every case (28/29). Twenty four (82.7%) patients were followed for 18.7 (2-33) months. Each patient remained symptom free. The average weight gain was 7.6 kg. The exocrine pancreatic function determined by Lundh test in 7 patients had not improved (11.2 vs. 12.2 pathological value in average). Recurrence of pancreatic duct stones was revealed in four (22.2%) cases among the 18 successfully treated patients after 15 (7-22) months. CONCLUSION: The authors conclude that the ESWL treatment of pancreatic stones together with the endotherapy applied is an effective method for painful pancreatolithiasis.

Original languageHungarian
Pages (from-to)881-885
Number of pages5
JournalOrvosi Hetilap
Volume143
Issue number17
Publication statusPublished - Apr 28 2002

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Lithotripsy
Endoscopic Retrograde Cholangiopancreatography
Therapeutics
Recurrence
Pancreatic Ducts
Therapeutic Irrigation
Chronic Pancreatitis
Hematuria
Citric Acid
Pancreatitis
Abdominal Pain
Weight Gain
Pancreas
Fever
Catheters
Alcohols
Pain

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Gyökeres, T., Schwab, R., Burai, M., Petrik, R., Páczelt, F., & Pap, A. (2002). Hasnyálmirigy-vezeték-kövek lökéshullám-kezelése, mint a komplex endoszkópos terápia része. Orvosi Hetilap, 143(17), 881-885.

Hasnyálmirigy-vezeték-kövek lökéshullám-kezelése, mint a komplex endoszkópos terápia része. / Gyökeres, Tibor; Schwab, Richárd; Burai, Mária; Petrik, Róbert; Páczelt, Ferenc; Pap, A.

In: Orvosi Hetilap, Vol. 143, No. 17, 28.04.2002, p. 881-885.

Research output: Contribution to journalArticle

Gyökeres, T, Schwab, R, Burai, M, Petrik, R, Páczelt, F & Pap, A 2002, 'Hasnyálmirigy-vezeték-kövek lökéshullám-kezelése, mint a komplex endoszkópos terápia része.', Orvosi Hetilap, vol. 143, no. 17, pp. 881-885.
Gyökeres T, Schwab R, Burai M, Petrik R, Páczelt F, Pap A. Hasnyálmirigy-vezeték-kövek lökéshullám-kezelése, mint a komplex endoszkópos terápia része. Orvosi Hetilap. 2002 Apr 28;143(17):881-885.
Gyökeres, Tibor ; Schwab, Richárd ; Burai, Mária ; Petrik, Róbert ; Páczelt, Ferenc ; Pap, A. / Hasnyálmirigy-vezeték-kövek lökéshullám-kezelése, mint a komplex endoszkópos terápia része. In: Orvosi Hetilap. 2002 ; Vol. 143, No. 17. pp. 881-885.
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abstract = "INTRODUCTION: The authors report on ESWL treatment of 29 patients suffering from pancreatolithiasis. PATIENTS/METHODS: The mean age was 46.5 (23-76) years, there were 7 women and 22 men. The etiology of chronic calcifying pancreatitis was alcohol in 24 (82.7{\%}) cases, idiopathic in 3 (10.3{\%}) patients and there was one familiar and one pancreas divisum case. The indication of ESWL was abdominal pain in 27/29 (93.1{\%}) cases. During ERCP pancreatic sphincterotomy was performed and a nasopancreatic catheter was placed for a continuous lavage with isotonic citrate at a rate of 0.5-1 ml/min for a mean of 6 days. The mean number of ESWLs was 2.2. RESULTS: Fragmentation was achieved in 28/29 (96.5{\%}) patients. There were five (17.5{\%}) complications, fever in three cases, one case of acute relapse of pancreatitis, and one hematuria. The mean number of therapeutic ERCPs was 2.32 (0-7). Overall a complete duct clearance was achieved in 62{\%} (18/29) of the patients, partial clearance in 13.9{\%} (4/29) but the ESWL was unsuccessful in 24.1{\%} (7/29) of the cases. Early pain relief occurred in almost every case (28/29). Twenty four (82.7{\%}) patients were followed for 18.7 (2-33) months. Each patient remained symptom free. The average weight gain was 7.6 kg. The exocrine pancreatic function determined by Lundh test in 7 patients had not improved (11.2 vs. 12.2 pathological value in average). Recurrence of pancreatic duct stones was revealed in four (22.2{\%}) cases among the 18 successfully treated patients after 15 (7-22) months. CONCLUSION: The authors conclude that the ESWL treatment of pancreatic stones together with the endotherapy applied is an effective method for painful pancreatolithiasis.",
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T1 - Hasnyálmirigy-vezeték-kövek lökéshullám-kezelése, mint a komplex endoszkópos terápia része.

AU - Gyökeres, Tibor

AU - Schwab, Richárd

AU - Burai, Mária

AU - Petrik, Róbert

AU - Páczelt, Ferenc

AU - Pap, A.

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N2 - INTRODUCTION: The authors report on ESWL treatment of 29 patients suffering from pancreatolithiasis. PATIENTS/METHODS: The mean age was 46.5 (23-76) years, there were 7 women and 22 men. The etiology of chronic calcifying pancreatitis was alcohol in 24 (82.7%) cases, idiopathic in 3 (10.3%) patients and there was one familiar and one pancreas divisum case. The indication of ESWL was abdominal pain in 27/29 (93.1%) cases. During ERCP pancreatic sphincterotomy was performed and a nasopancreatic catheter was placed for a continuous lavage with isotonic citrate at a rate of 0.5-1 ml/min for a mean of 6 days. The mean number of ESWLs was 2.2. RESULTS: Fragmentation was achieved in 28/29 (96.5%) patients. There were five (17.5%) complications, fever in three cases, one case of acute relapse of pancreatitis, and one hematuria. The mean number of therapeutic ERCPs was 2.32 (0-7). Overall a complete duct clearance was achieved in 62% (18/29) of the patients, partial clearance in 13.9% (4/29) but the ESWL was unsuccessful in 24.1% (7/29) of the cases. Early pain relief occurred in almost every case (28/29). Twenty four (82.7%) patients were followed for 18.7 (2-33) months. Each patient remained symptom free. The average weight gain was 7.6 kg. The exocrine pancreatic function determined by Lundh test in 7 patients had not improved (11.2 vs. 12.2 pathological value in average). Recurrence of pancreatic duct stones was revealed in four (22.2%) cases among the 18 successfully treated patients after 15 (7-22) months. CONCLUSION: The authors conclude that the ESWL treatment of pancreatic stones together with the endotherapy applied is an effective method for painful pancreatolithiasis.

AB - INTRODUCTION: The authors report on ESWL treatment of 29 patients suffering from pancreatolithiasis. PATIENTS/METHODS: The mean age was 46.5 (23-76) years, there were 7 women and 22 men. The etiology of chronic calcifying pancreatitis was alcohol in 24 (82.7%) cases, idiopathic in 3 (10.3%) patients and there was one familiar and one pancreas divisum case. The indication of ESWL was abdominal pain in 27/29 (93.1%) cases. During ERCP pancreatic sphincterotomy was performed and a nasopancreatic catheter was placed for a continuous lavage with isotonic citrate at a rate of 0.5-1 ml/min for a mean of 6 days. The mean number of ESWLs was 2.2. RESULTS: Fragmentation was achieved in 28/29 (96.5%) patients. There were five (17.5%) complications, fever in three cases, one case of acute relapse of pancreatitis, and one hematuria. The mean number of therapeutic ERCPs was 2.32 (0-7). Overall a complete duct clearance was achieved in 62% (18/29) of the patients, partial clearance in 13.9% (4/29) but the ESWL was unsuccessful in 24.1% (7/29) of the cases. Early pain relief occurred in almost every case (28/29). Twenty four (82.7%) patients were followed for 18.7 (2-33) months. Each patient remained symptom free. The average weight gain was 7.6 kg. The exocrine pancreatic function determined by Lundh test in 7 patients had not improved (11.2 vs. 12.2 pathological value in average). Recurrence of pancreatic duct stones was revealed in four (22.2%) cases among the 18 successfully treated patients after 15 (7-22) months. CONCLUSION: The authors conclude that the ESWL treatment of pancreatic stones together with the endotherapy applied is an effective method for painful pancreatolithiasis.

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