1. Safety and efficacy of digital single-operator pancreatoscopy for obstructing pancreatic ductal stones
- Author
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Samuel Han, Claudio Zulli, Christopher J. DiMaio, Natalie Cosgrove, George Webster, Divyesh V. Sejpal, Robert A. Moran, Juliana Yang, Reem Sharahia, Hanaa Dakour Aridi, Daniel Mullady, Vivek Kumbhari, Richard Sturgess, Moamen Gabr, Tossapol Kerdsirichairat, Shawn L. Shah, Mohamad Dbouk, Nasim Parsa, Cyrus Piraka, Olaya I. Brewer Gutierrez, James Buxbaum, B. Joseph Elmunzer, David L. Carr-Locke, Raj J. Shah, Laura K. Dwyer, Noor Bekkali, Vikesh K. Singh, Douglas K. Pleskow, Stuart Sherman, Daniel S. Strand, A. Maurano, Christopher Ko, Douglas G. Adler, Dennis Han, Omid Sanaei, Isaac Raijman, Andrew Y. Wang, Mouen A. Khashab, Clayton M. Spiceland, and Benjamin L. Bick
- Subjects
Pancreatic duct ,medicine.medical_specialty ,Original article ,business.industry ,medicine.medical_treatment ,Mean age ,Laser lithotripsy ,3. Good health ,Surgery ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,medicine ,030211 gastroenterology & hepatology ,Pharmacology (medical) ,Pancreatic stones ,In patient ,lcsh:Diseases of the digestive system. Gastroenterology ,Pancreatic carcinoma ,lcsh:RC799-869 ,business ,Procedure time - Abstract
Background and study aims The role of the digital single-operator pancreatoscopy (D-SOP) with electrohydraulic (EHL) or laser lithotripsy (LL) in treating pancreatic ductal stones is unclear. We investigated the safety and efficacy of D-SOP with EHL or LL in patients with obstructing pancreatic duct stones. Patients and methods Retrospective analysis of 109 patients who underwent D-SOP for pancreatic stones at 17 tertiary centers in the United States and Europe from February 2015 to September 2017. Logistic regression was performed to identify factors associated with the need for more than one D-SOP with EHL/LL. Results Most patients were males (70.6 %),mean age 54.7 years. Fifty-nine (54.1 %) underwent EHL and 50 (45.9 %) underwent LL. Mean procedure time was longer in the EHL group (74.4 min vs 53.8 min; P Conclusion D-SOP with EHL or LL is effective and safe in patients with pancreatic ductal stones.
- Published
- 2019