Johanns W, Jakobeit C, Greiner L, Janssen J
Medical Clinic A-Gastroenterology, Municipal Hospital Wuppertal, University of Witten-Herdecke, Germany.
Can J Gastroenterol. 1996 Nov-Dec;10(7):471-5. doi: 10.1155/1996/240781.
Extracorporeal shock wave lithotripsy (ESWL) and endoscopic sphincterotomy (EST) was performed in 35 patients suffering from pancreatic duct stones. Calculi disintegration and resolution of obstruction were achieved in all cases. Completely stone-free ducts were achieved in 16 patients (46%) while some peripheral asymptomatic stone material remained in 19 (54%). Dilation of the main pancreatic duct was reduced in 29 patients (83%). Twelve patients (34%) became completely asymptomatic and 17 (49%) reported a marked reduction of pain. Pancreatogenic steatorrhea ceased and 18 patients (51%) gained weight. Pathological glucose tolerance returned to normal in one patient. No major complications were observed. The combination of ESWL and EST is a successful, nonoperative, new treatment in pancreatic stone disease.
对35例胰管结石患者进行了体外冲击波碎石术（ESWL）和内镜括约肌切开术（EST）。所有病例均实现了结石碎裂和梗阻解除。16例患者（46%）胰管完全无结石，19例（54%）仍有一些周边无症状结石残留。29例患者（83%）主胰管扩张减轻。12例患者（34%）完全无症状，17例（49%）报告疼痛明显减轻。胰源性脂肪泻停止，18例患者（51%）体重增加。1例患者病理性糖耐量恢复正常。未观察到重大并发症。ESWL和EST联合治疗是胰石症一种成功的非手术新疗法。
