Endoscopic electrohydraulic lithotripsy in the management of pancreatobiliary lithiasis

J. E. Craigie, D. B. Adams, T. K. Byme, E. P. Tagge, P. R. Tarnasky, John T Cunningham, R. H. Hawes

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Background: Clinical evaluation of intraoperative endoscopy with electrohydraulic lithotripsy (EHL) in the management of 13 patients with pancreatobiliary lithiasis was undertaken. Methods: Ten patients with chronic pancreatitis with intraductal lithiasis in the head and three with biliary lithiasis (one choledochal, one cystic, one right intrahepatic) underwent intraoperative endoscopy with EHL. Shock waves were applied by visual contact with a 3-Fr gauge EHL probe until all stones were fragmented and irrigated free. All pancreatitis patients had failed ERCP attempts to stent their pancreatic ducts secondary to ductal lithiasis. Patients with pancreatic stones underwent lateral pancreatojejunostomy. Biliary stone patients underwent laparoscopic cholecystectomy with common duct exploration (two cases) and open cholecystectomy with choledochoduodenostomy (one case). Results: Intraductal stone eradication was successful in all patients. Transampullary visualization of the duodenum was achieved in eight cases. Average EHL time was 65 min. There was no evidence of postoperative pancreatitis, cholangitis, or retained common duct stones. Conclusion: Intraoperative pancreatobiliary endoscopy with EHL is safe and effective in the eradication of pancreatic and bile duct stones. This novel technique represents a valuable adjunct in the management of chronic fibrocalcific pancreatitis with ductal lithiasis in the head region and in the open and laparoscopic management of intra- and extrahepatic bile duct stones.

Original languageEnglish (US)
Pages (from-to)405-408
Number of pages4
JournalSurgical Endoscopy
Volume12
Issue number5
StatePublished - May 1998
Externally publishedYes

Fingerprint

Lithiasis
Lithotripsy
Endoscopy
Pancreatic Ducts
Chronic Pancreatitis
Pancreatitis
Head
Pancreaticojejunostomy
Choledochostomy
Intrahepatic Bile Ducts
Extrahepatic Bile Ducts
Cholangitis
Endoscopic Retrograde Cholangiopancreatography
Laparoscopic Cholecystectomy
Cholecystectomy
Bile Ducts
Duodenum
Stents

Keywords

  • Biliary stones
  • Lithotripsy
  • Pancreatitis
  • Pancreatoscopy

ASJC Scopus subject areas

  • Surgery

Cite this

Craigie, J. E., Adams, D. B., Byme, T. K., Tagge, E. P., Tarnasky, P. R., Cunningham, J. T., & Hawes, R. H. (1998). Endoscopic electrohydraulic lithotripsy in the management of pancreatobiliary lithiasis. Surgical Endoscopy, 12(5), 405-408.

Endoscopic electrohydraulic lithotripsy in the management of pancreatobiliary lithiasis. / Craigie, J. E.; Adams, D. B.; Byme, T. K.; Tagge, E. P.; Tarnasky, P. R.; Cunningham, John T; Hawes, R. H.

In: Surgical Endoscopy, Vol. 12, No. 5, 05.1998, p. 405-408.

Research output: Contribution to journalArticle

Craigie, JE, Adams, DB, Byme, TK, Tagge, EP, Tarnasky, PR, Cunningham, JT & Hawes, RH 1998, 'Endoscopic electrohydraulic lithotripsy in the management of pancreatobiliary lithiasis', Surgical Endoscopy, vol. 12, no. 5, pp. 405-408.
Craigie JE, Adams DB, Byme TK, Tagge EP, Tarnasky PR, Cunningham JT et al. Endoscopic electrohydraulic lithotripsy in the management of pancreatobiliary lithiasis. Surgical Endoscopy. 1998 May;12(5):405-408.
Craigie, J. E. ; Adams, D. B. ; Byme, T. K. ; Tagge, E. P. ; Tarnasky, P. R. ; Cunningham, John T ; Hawes, R. H. / Endoscopic electrohydraulic lithotripsy in the management of pancreatobiliary lithiasis. In: Surgical Endoscopy. 1998 ; Vol. 12, No. 5. pp. 405-408.
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