The Korean journal of internal medicine

  • 제27권1호
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  • Pages.20-29
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  • 2012
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  • 1226-3303(pISSN)
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  • 2005-6648(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
권호 표지
DOI QR코드

DOI QR Code

Update on Endoscopic Management of Main Pancreatic Duct Stones in Chronic Calcific Pancreatitis

  • Choi, Eun-Kwang (Department of Medicine, Indiana University School of Medicine) ;
  • Lehman, Glen A. (Department of Medicine, Indiana University School of Medicine)
  • 발행 : 2012.03.01
⟨ 이전 논문 다음 논문 ⟩

초록

Pancreatic duct stones are a common complication during the natural course of chronic pancreatitis and often contribute to additional pain and pancreatitis. Abdominal pain, one of the major symptoms of chronic pancreatitis, is believed to be caused in part by obstruction of the pancreatic duct system (by stones or strictures) resulting in increasing intraductal pressure and parenchymal ischemia. Pancreatic stones can be managed by surgery, endoscopy, or extracorporeal shock wave lithotripsy. In this review, updated management of pancreatic duct stones is discussed.

키워드

참고문헌

  1. Etemad B, Whitcomb DC. Chronic pancreatitis: diagnosis, classification, and new genetic developments. Gastroenterology 2001;120:682-707. https://doi.org/10.1053/gast.2001.22586
  2. Feldman M, Friedman LS, Brandt LJ. Sleisenger and Fordtran's gastrointestinal and liver disease. 9th ed. Philadelphia, PA: Saunders Elsevier, 2010.
  3. Ammann RW, Muench R, Otto R, Buehler H, Freiburghaus AU, Siegenthaler W. Evolution and regression of pancreatic calcification in chronic pancreatitis: a prospective long-term study of 107 patients. Gastroenterology 1988;95:1018-1028. https://doi.org/10.1016/0016-5085(88)90178-3
  4. Steer ML, Waxman I, Freedman S. Chronic pancreatitis. N Engl J Med 1995;332:1482-1490. https://doi.org/10.1056/NEJM199506013322206
  5. Mitchell RM, Byrne MF, Baillie J. Pancreatitis. Lancet 2003;361:1447-1455. https://doi.org/10.1016/S0140-6736(03)13139-X
  6. Ohara H, Hoshino M, Hayakawa T, et al. Single application extracorporeal shock wave lithotripsy is the first choice for patients with pancreatic duct stones. Am J Gastroenterol 1996;91:1388-1394.
  7. Ebbehoj N, Borly L, Bulow J, Rasmussen SG, Madsen P. Evaluation of pancreatic tissue fluid pressure and pain in chronic pancreatitis: a longitudinal study. Scand J Gastroenterol 1990;25:462-466. https://doi.org/10.3109/00365529009095516
  8. Karanjia ND, Reber HA. The cause and management of the pain of chronic pancreatitis. Gastroenterol Clin North Am 1990;19:895-904.
  9. Kloppel G. Pathology of chronic pancreatitis and pancreatic pain. Acta Chir Scand 1990;156:261-265.
  10. Nealon WH, Townsend CM Jr, Thompson JC. Operative drainage of the pancreatic duct delays functional impairment in patients with chronic pancreatitis: a prospective analysis. Ann Surg 1988;208:321-329. https://doi.org/10.1097/00000658-198809000-00009
  11. Greenlee HB, Prinz RA, Aranha GV. Long-term results of side-to-side pancreaticojejunostomy. World J Surg 1990;14:70-76. https://doi.org/10.1007/BF01670548
  12. Adler DG, Lichtenstein D, Baron TH, et al. The role of endoscopy in patients with chronic pancreatitis. Gastrointest Endosc 2006;63:933-937. https://doi.org/10.1016/j.gie.2006.02.003
  13. Sherman S, Lehman GA, Hawes RH, et al. Pancreatic ductal stones: frequency of successful endoscopic removal and improvement in symptoms. Gastrointest Endosc 1991;37:511-517. https://doi.org/10.1016/S0016-5107(91)70818-3
  14. Adamek HE, Jakobs R, Buttmann A, Adamek MU, Schneider AR, Riemann JF. Long term follow up of patients with chronic pancreatitis and pancreatic stones treated with extracorporeal shock wave lithotripsy. Gut 1999;45:402-405. https://doi.org/10.1136/gut.45.3.402
  15. Delhaye M, Arvanitakis M, Verset G, Cremer M, Deviere J. Long-term clinical outcome after endoscopic pancreatic ductal drainage for patients with painful chronic pancreatitis. Clin Gastroenterol Hepatol 2004;2:1096-1106. https://doi.org/10.1016/S1542-3565(04)00544-0
  16. Rao KN, Van Thiel DH. Pancreatic stone protein: what is it and what does it do? Dig Dis Sci 1991;36:1505-1508. https://doi.org/10.1007/BF01296389
  17. Tanaka T, Miura Y, Ichiba Y, Itoh H, Dohi K. Experimental pancreatolithiasis: association with chronic alcoholic pancreatitis. Am J Gastroenterol 1992;87:1061.
  18. Midha S, Khajuria R, Shastri S, Kabra M, Garg PK. Idiopathic chronic pancreatitis in India: phenotypic characterisation and strong genetic susceptibility due to SPINK1 and CFTR gene mutations. Gut 2010;59:800-807. https://doi.org/10.1136/gut.2009.191239
  19. Luetmer PH, Stephens DH, Ward EM. Chronic pancreatitis: reassessment with current CT. Radiology 1989;171:353-357. https://doi.org/10.1148/radiology.171.2.2704799
  20. Farnbacher MJ, Schoen C, Rabenstein T, Benninger J, Hahn EG, Schneider HT. Pancreatic duct stones in chronic pancreatitis: criteria for treatment intensity and success. Gastrointest Endosc 2002;56:501-506. https://doi.org/10.1016/S0016-5107(02)70433-1
  21. Dumonceau JM, Deviere J, Le Moine O, et al. Endoscopic pancreatic drainage in chronic pancreatitis associated with ductal stones: long-term results. Gastrointest Endosc 1996;43:547-555. https://doi.org/10.1016/S0016-5107(96)70189-X
  22. Dite P, Ruzicka M, Zboril V, Novotny I. A prospective, randomized trial comparing endoscopic and surgical therapy for chronic pancreatitis. Endoscopy 2003;35:553-558. https://doi.org/10.1055/s-2003-40237
  23. Cahen DL, Gouma DJ, Nio Y, et al. Endoscopic versus surgical drainage of the pancreatic duct in chronic pancreatitis. N Engl J Med 2007;356:676-684. https://doi.org/10.1056/NEJMoa060610
  24. Delhaye M, Arvanitakis M, Bali M, Matos C, Deviere J. Endoscopic therapy for chronic pancreatitis. Scand J Surg 2005;94:143-153. https://doi.org/10.1177/145749690509400211
  25. Elta GH. Is there a role for the endoscopic treatment of pain from chronic pancreatitis? N Engl J Med 2007;356:727-729. https://doi.org/10.1056/NEJMe068298
  26. Isaksson G, Ihse I. Pain reduction by an oral pancreatic enzyme preparation in chronic pancreatitis. Dig Dis Sci 1983;28:97-102. https://doi.org/10.1007/BF01315137
  27. Noda A, Okuyama M, Murayama H, et al. Dissolution of pancreatic stones by oral trimethadione in patients with chronic calcific pancreatitis. J Gastroenterol Hepatol 1994;9:478-485. https://doi.org/10.1111/j.1440-1746.1994.tb01278.x
  28. Noda A, Shibata T, Ogawa Y, et al. Dissolution of pancreatic stones by oral trimethadione in a dog experimental model. Gastroenterology 1987;93:1002-1008. https://doi.org/10.1016/0016-5085(87)90562-2
  29. Liu BN, Zhang TP, Zhao YP, Liao Q, Dai MH, Zhan HX. Pancreatic duct stones in patients with chronic pancreatitis: surgical outcomes. Hepatobiliary Pancreat Dis Int 2010;9:423-427.
  30. Cahen DL, Gouma DJ, Laramee P, et al. Long-term outcomes of endoscopic vs surgical drainage of the pancreatic duct in patients with chronic pancreatitis. Gastroenterology 2011;141:1690-1695. https://doi.org/10.1053/j.gastro.2011.07.049
  31. Adams DB, Ford MC, Anderson MC. Outcome after lateral pancreaticojejunostomy for chronic pancreatitis. Ann Surg 1994;219:481-487. https://doi.org/10.1097/00000658-199405000-00006
  32. Brand B, Kahl M, Sidhu S, et al. Prospective evaluation of morphology, function, and quality of life after extracorporeal shockwave lithotripsy and endoscopic treatment of chronic calcific pancreatitis. Am J Gastroenterol 2000;95:3428-3438. https://doi.org/10.1111/j.1572-0241.2000.03190.x
  33. Moossa AR. Surgical treatment of chronic pancreatitis: an overview. Br J Surg 1987;74:661-667. https://doi.org/10.1002/bjs.1800740803
  34. Costamagna G, Gabbrielli A, Mutignani M, et al. Extracorporeal shock wave lithotripsy of pancreatic stones in chronic pancreatitis: immediate and medium-term results. Gastrointest Endosc 1997;46:231-236. https://doi.org/10.1016/S0016-5107(97)70092-0
  35. Smits ME, Rauws EA, Tytgat GN, Huibregtse K. Endoscopic treatment of pancreatic stones in patients with chronic pancreatitis. Gastrointest Endosc 1996;43:556-560. https://doi.org/10.1016/S0016-5107(96)70190-6
  36. Geenen JE, Vennes JA, Silvis SE. Resume of a seminar on endoscopic retrograde sphincterotomy (ERS). Gastrointest Endosc 1981;27:31-38. https://doi.org/10.1016/S0016-5107(81)73140-7
  37. Lehman GA. Role of ERCP and other endoscopic modalities in chronic pancreatitis. Gastrointest Endosc 2002;56:S237-S240. https://doi.org/10.1016/S0016-5107(02)70018-7
  38. Tringali A, Boskoski I, Costamagna G. The role of endoscopy in the therapy of chronic pancreatitis. Best Pract Res Clin Gastroenterol 2008;22:145-165. https://doi.org/10.1016/j.bpg.2007.10.021
  39. Rosch T, Daniel S, Scholz M, et al. Endoscopic treatment of chronic pancreatitis: a multicenter study of 1000 patients with long-term follow-up. Endoscopy 2002;34:765-771. https://doi.org/10.1055/s-2002-34256
  40. Guda NM, Freeman ML, Smith C. Role of extracorporeal shock wave lithotripsy in the treatment of pancreatic stones. Rev Gastroenterol Disord 2005;5:73-81.
  41. Bali MA, Sztantics A, Metens T, et al. Quantification of pancreatic exocrine function with secretin-enhanced magnetic resonance cholangiopancreatography: normal values and shortterm effects of pancreatic duct drainage procedures in chronic pancreatitis. Initial results. Eur Radiol 2005;15:2110-2121. https://doi.org/10.1007/s00330-005-2819-5
  42. Delhaye M, Vandermeeren A, Baize M, Cremer M. Extracorporeal shock-wave lithotripsy of pancreatic calculi. Gastroenterology 1992;102:610-620. https://doi.org/10.1016/0016-5085(92)90110-K
  43. Maydeo A, Bhandari S, Bapat M. Endoscopic balloon sphincteroplasty for extraction of large radiolucent pancreatic duct stones (with videos). Gastrointest Endosc 2009;70:798-802. https://doi.org/10.1016/j.gie.2009.05.004
  44. Tadenuma H, Ishihara T, Yamaguchi T, et al. Long-term results of extracorporeal shockwave lithotripsy and endoscopic therapy for pancreatic stones. Clin Gastroenterol Hepatol 2005;3:1128-1135. https://doi.org/10.1016/S1542-3565(05)00530-6
  45. van der Hul R, Plaisier P, Jeekel J, Terpstra O, den Toom R, Bruining H. Extracorporeal shock-wave lithotripsy of pancreatic duct stones: immediate and long-term results. Endoscopy 1994;26:573-578. https://doi.org/10.1055/s-2007-1009042
  46. Sauerbruch T, Holl J, Sackmann M, Paumgartner G. Extracorporeal lithotripsy of pancreatic stones in patients with chronic pancreatitis and pain: a prospective follow up study. Gut 1992;33:969-972. https://doi.org/10.1136/gut.33.7.969
  47. Schneider HT, May A, Benninger J, et al. Piezoelectric shock wave lithotripsy of pancreatic duct stones. Am J Gastroenterol 1994;89:2042-2048.
  48. Cotton PB, Lehman GA, Vennes J, et al. Endoscopic sphincterotomy complications and their management: an attempt at consensus. Gastrointest Endosc 1991;37:383-393. https://doi.org/10.1016/S0016-5107(91)70740-2
  49. Freeman ML, Nelson DB, Sherman S, et al. Complications of endoscopic biliary sphincterotomy. N Engl J Med 1996;335:909-918. https://doi.org/10.1056/NEJM199609263351301
  50. Masci E, Toti G, Mariani A, et al. Complications of diagnostic and therapeutic ERCP: a prospective multicenter study. Am J Gastroenterol 2001;96:417-423. https://doi.org/10.1111/j.1572-0241.2001.03594.x
  51. Adler DG, Conway JD, Farraye FA, et al. Biliary and pancreatic stone extraction devices. Gastrointest Endosc 2009;70:603-609. https://doi.org/10.1016/j.gie.2009.06.015
  52. Thomas M, Howell DA, Carr-Locke D, et al. Mechanical lithotripsy of pancreatic and biliary stones: complications and available treatment options collected from expert centers. Am J Gastroenterol 2007;102:1896-1902. https://doi.org/10.1111/j.1572-0241.2007.01350.x
  53. Schutz SM, Chinea C, Friedrichs P. Successful endoscopic removal of a severed, impacted dormia basket. Am J Gastroenterol 1997;92:679-681.
  54. Payne WG, Norman JG, Pinkas H. Endoscopic basket impaction. Am Surg 1995;61:464-467.
  55. Sheridan J, Williams TM, Yeung E, Ho CS, Thurston W. Percutaneous transhepatic management of an impacted endoscopic basket. Gastrointest Endosc 1993;39:444-446. https://doi.org/10.1016/S0016-5107(93)70127-3
  56. Sezgin O, Tezel A, Sahin B. Dormia basket fracture: an unusual complication of mechanical lithotripsy. J Clin Gastroenterol 2000;30:215. https://doi.org/10.1097/00004836-200003000-00021
  57. Eisendrath P, Deviere J. Expandable metal stents for benign pancreatic duct obstruction. Gastrointest Endosc Clin N Am 1999;9:547-554.
  58. Moon SH, Kim MH, Park DH, et al. Modified fully covered selfexpandable metal stents with antimigration features for benign pancreatic-duct strictures in advanced chronic pancreatitis, with a focus on the safety profile and reducing migration. Gastrointest Endosc 2010;72:86-91. https://doi.org/10.1016/j.gie.2010.01.063
  59. Smith MT, Sherman S, Ikenberry SO, Hawes RH, Lehman GA. Alterations in pancreatic ductal morphology following polyethylene pancreatic stent therapy. Gastrointest Endosc 1996;44:268-275. https://doi.org/10.1016/S0016-5107(96)70163-3
  60. Sherman S, Hawes RH, Savides TJ, et al. Stent-induced pancreatic ductal and parenchymal changes: correlation of endoscopic ultrasound with ERCP. Gastrointest Endosc 1996;44:276-282. https://doi.org/10.1016/S0016-5107(96)70164-5
  61. Freeman ML. Mechanical lithotripsy of pancreatic duct stones. Gastrointest Endosc 1996;44:333-336. https://doi.org/10.1016/S0016-5107(96)70175-X
  62. Howell DA, Dy RM, Hanson BL, Nezhad SF, Broaddus SB. Endoscopic treatment of pancreatic duct stones using a 10F pancreatoscope and electrohydraulic lithotripsy. Gastrointest Endosc 1999;50:829-833. https://doi.org/10.1016/S0016-5107(99)70168-9
  63. Papachristou GI, Baron TH. Endoscopic treatment of an impacted pancreatic duct stone using a balloon catheter for electrohydraulic lithotripsy without pancreatoscopy. J Clin Gastroenterol 2006;40:753-756. https://doi.org/10.1097/00004836-200609000-00017
  64. Parsi MA, Stevens T, Lopez R, Vargo JJ. Extracorporeal shock wave lithotripsy for prevention of recurrent pancreatitis caused by obstructive pancreatic stones. Pancreas 2010;39:153-155. https://doi.org/10.1097/MPA.0b013e3181bb1733
  65. Guda NM, Partington S, Freeman ML. Extracorporeal shock wave lithotripsy in the management of chronic calcific pancreatitis: a meta-analysis. JOP 2005;6:6-12.
  66. Sauerbruch T, Holl J, Sackmann M, Werner R, Wotzka R, Paumgartner G. Disintegration of a pancreatic duct stone with extracorporeal shock waves in a patient with chronic pancreatitis. Endoscopy 1987;19:207-208. https://doi.org/10.1055/s-2007-1018284
  67. Sauerbruch T, Delius M, Paumgartner G, et al. Fragmentation of gallstones by extracorporeal shock waves. N Engl J Med 1986;314:818-822. https://doi.org/10.1056/NEJM198603273141304
  68. Kozarek RA, Brandabur JJ, Ball TJ, et al. Clinical outcomes in patients who undergo extracorporeal shock wave lithotripsy for chronic calcific pancreatitis. Gastrointest Endosc 2002;56:496-500. https://doi.org/10.1016/S0016-5107(02)70432-X
  69. Dumonceau JM, Costamagna G, Tringali A, et al. Treatment for painful calcified chronic pancreatitis: extracorporeal shock wave lithotripsy versus endoscopic treatment: a randomised controlled trial. Gut 2007;56:545-552. https://doi.org/10.1136/gut.2006.096883
  70. Choi EK, McHenry L, Watkins JL, et al. Use of secretin during extracorporeal shock wave lithotripsy (ESWL) to facilitate endoscopic clearance of main pancreatic duct stones (MPDS). Gastroenterology 2011;140(5 Suppl 1):S69-S70.
  71. Inui K, Tazuma S, Yamaguchi T, et al. Treatment of pancreatic stones with extracorporeal shock wave lithotripsy: results of a multicenter survey. Pancreas 2005;30:26-30.
  72. Karakayali F, Sevmis S, Ayvaz I, Tekin I, Boyvat F, Moray G. Acute necrotizing pancreatitis as a rare complication of extracorporeal shock wave lithotripsy. Int J Urol 2006;13:613-615. https://doi.org/10.1111/j.1442-2042.2006.01366.x
  73. Darisetty S, Tandan M, Reddy DN, et al. Epidural anesthesia is effective for extracorporeal shock wave lithotripsy of pancreatic and biliary calculi. World J Gastrointest Surg 2010;27:165-168.

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