Abstract：
Endoscopic therapy and extracorporeal shock wave lithotripsy (ESWL) are recommended as the first choice in treating pancreatolithiasis. Endoscopic therapy is generally performed using endoscopic pancreatic sphincterotomy (EPST). Herein, we report our experience implementing a treatment protocol, combining endoscopic therapy and ESWL without EPST, for pancreatolithiasis. The inpatient treatment plan was performed every 3 months with a set number of sessions of ESWL with endoscopic pancreatic stenting (EPS) implanted or replaced. Finally, treatment was terminated when the stone was removed after implantation of a 10-Fr stent and crushed to approximately 3 mm or after spontaneous stone discharge. Eight patients were included in this study; the median time to stone disappearance was 208.5 days. The median number of inpatient treatment cycles, endoscopic retrograde cholangiopancreatography, and ESWL sessions was 2.5, 3, and 3, respectively. No serious adverse events were observed in all patients. Therefore, combining ESWL and EPS without EPST can safely treat pancreatolithiasis.
摘要：
建议将内镜治疗和体外冲击波碎石术（ESWL）作为治疗胰管结石的首选方法。内窥镜治疗通常使用内窥镜胰腺括约肌切开术(EPST)进行。在这里，我们报告了我们实施治疗方案的经验，结合内镜治疗和无EPST的ESWL，胰管结石.每3个月执行住院治疗计划，并进行一定数量的ESWL，并植入或更换内镜下胰腺支架（EPS）。最后,当植入10-Fr支架后取出结石并将其压碎至约3mm或自发性结石排出后，治疗终止。本研究包括8名患者；结石消失的中位时间为208.5天。住院治疗周期的中位数，内镜逆行胰胆管造影术,和ESWL会话分别为2.5、3和3。所有患者均未发生严重不良事件。因此,联合ESWL和无EPST的EPS可以安全地治疗胰管结石。
