Department of Gastroenterology, Shanghai Changhai Hospital, 168 Changhai Road, Shanghai, 200433, China.
BMC Gastroenterol. 2023 Oct 18;23(1):360. doi: 10.1186/s12876-023-02992-0.
Pancreatic stones are the result of pathophysiologic changes in chronic pancreatitis with an incidence of more than 90%. At present, pancreatic extracorporeal shock wave lithotripsy (P-ESWL) can be used as the first-line treatment for large or complex stones. Although a large number of studies have proven the safety and effectiveness of P-ESWL, we should also pay attention to postoperative adverse events, mainly due to the scattering of shock waves in the conduction pathway. Adverse events can be classified as either complications or transient adverse events according to the severity. Because the anatomic location of organs along the shock wave conducting pathway differs greatly, adverse events after P-ESWL are varied and difficult to predict. This paper outlines the mechanism, definition, classification, management and risk factors for adverse events related to P-ESWL. It also discusses the technique of P-ESWL, indications and contraindications of P-ESWL, and adverse events in special populations.
胰腺结石是慢性胰腺炎病理生理变化的结果，发生率超过 90%。目前，胰腺体外冲击波碎石术（P-ESWL）可作为大或复杂结石的一线治疗方法。尽管大量研究已经证明了 P-ESWL 的安全性和有效性，但我们也应该注意术后不良事件，主要是由于冲击波在传导途径中的散射。根据严重程度，不良事件可分为并发症或短暂性不良事件。由于沿冲击波传导途径的器官解剖位置差异很大，因此 P-ESWL 后的不良事件多种多样，难以预测。本文概述了与 P-ESWL 相关的不良事件的机制、定义、分类、管理和危险因素。还讨论了 P-ESWL 的技术、P-ESWL 的适应证和禁忌证以及特殊人群中的不良事件。
