Progress of Digestive Endoscopy(1972)
Online ISSN : 2189-0021
Print ISSN : 0389-9403
Case report
A Case of Pancreatolithiasis Treated by Extracorporeal Shock Wave Lithotripsy (ESWL) with Endoscopic Naso Pancreatic Drainage (ENPD)
Masaya FurukawaDaiju NakayamaHiroyuki MatsubayashiShinichirou KokunoTakao ItoiJun SanadaKazuya TakedaKazutoshi OnodaYasushi MagamiToshiya HoribeTeitetsu NiidoTomoyuki SekiToshihiko SaitoHiroyuki Imaeda
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1999 Volume 53 Pages 206-207

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Abstract
A 67-year-old male who followed up for alcoholic chronic pancreatitis admitted with abdominal pain in another hospital. This patient was transferred to our hospital for treatment of pancreatolithiasis after emergency percutaneous transhepatic pancreatic cyst drainage to be detected pancreatolithiasis and pancreatic cyst on abdominal US and CT. ESWL was performed due to pancreatography through percutaneous transhepatic pancreatic cyst drainage tube showed MPD dilatation and pancreatolithiasis in the pancreas head.
Post ESWL pancreatography through percutaneous transhepatic drainage tube showed several fragmented stones in the pancreatic duct. To extract percutaneous transhepatic drainage tube safely, ENPD was performed. Percutaneous transhepatic drainage tube extracted two weeks later after clamp. The day after, pancreatography of ENPD tube showed several fragmented stones in the pancreatic duct. Therefore, endoscopic extraction of remaining stones were performed. It is no recurrence for ten monthes after.
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© 1999 Japan Gastroenterological Endoscopy Society Kanto Chapter
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