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体外冲击波碎石术治疗慢性胰腺炎胰管结石: 我们是否未充分利用新技术?

Extracorporeal shock wave lithotripsy for pancreatic duct stones in patients with chronic pancreatitis: Are we underutilizing a new technology?

机构信息

From the Departments of Surgery (Hashmi, Dushinski, Sutherland, Ball) and Medicine (Mohamed), University of Calgary, Calgary, Alta.

出版信息

Can J Surg. 2023 Jul 27;66(4):E396-E398. doi: 10.1503/cjs.017121. Print 2023 Jul-Aug.

Abstract

The progressive inflammatory nature of chronic pancreatitis and its sparse therapeutic toolbox remain obstacles in offering patients durable solutions for their symptoms. Obstruction of the main pancreatic duct by either strictures or stones represents a scenario worthy of therapeutic focus, as nearly all patients with pancreatitis eventually have intraductal stones. A more recent option for removal of main duct stones is extracorporeal shock wave lithotripsy (ESWL). In an effort to explore the role of ESWL in a Canadian setting, we evaluated our initial experience over an 8-year period (2011-2019).

摘要

慢性胰腺炎呈进行性炎症改变,且治疗方法有限,这给患者带来持久疗效带来了障碍。主胰管狭窄或结石导致的阻塞是治疗的重点,因为几乎所有胰腺炎患者最终都会出现胰管内结石。目前,另一种治疗主胰管结石的方法是体外冲击波碎石术(ESWL)。为了探索 ESWL 在加拿大的应用,我们评估了 8 年(2011-2019 年)的初始经验。

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Management of Pancreatic Duct Stones.胰管结石的管理
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本文引用的文献

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ESWL for large pancreatic calculi: Report of over 5000 patients.ESWL 治疗大胰腺结石:超过 5000 例患者的报告。
Pancreatology. 2019 Oct;19(7):916-921. doi: 10.1016/j.pan.2019.08.001. Epub 2019 Aug 2.
10
Extracorporeal shock wave lithotripsy for pancreatic duct stones: an observational study.体外冲击波碎石术治疗胰管结石:一项观察性研究。
Scand J Gastroenterol. 2018 Oct-Nov;53(10-11):1399-1403. doi: 10.1080/00365521.2018.1508611. Epub 2018 Oct 24.

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