Management of Pancreatolithiasis: A Nationwide Survey in Japan. Issue 6 (July 2018)
- Record Type:
- Journal Article
- Title:
- Management of Pancreatolithiasis: A Nationwide Survey in Japan. Issue 6 (July 2018)
- Main Title:
- Management of Pancreatolithiasis
- Authors:
- Inui, Kazuo
Masamune, Atsushi
Igarashi, Yoshinori
Ohara, Hirotaka
Tazuma, Susumu
Sugiyama, Masanori
Suzuki, Yutaka
Miyoshi, Hironao
Yamamoto, Satoshi
Takeyama, Yoshifumi
Nakano, Eriko
Takuma, Kensuke
Sakagami, Junichi
Hayashi, Kazuki
Kogure, Atsuko
Ito, Tetsuya
Mukai, Tsuyoshi
Maetani, Iruru
Nagahama, Masatsugu
Serikawa, Masahiro
Ueki, Toshiharu
Furuya, Ken
Isayama, Hiroyuki
Moriyama, Ichiro
Shigeno, Masaya
Mizukami, Kazuhiro
Nanashima, Atsushi
Oana, Shuhei
Ikehata, Atsushi
Watanabe, Noriko
Hirooka, Yoshiki
Ogoshi, Keiichiro
Sasaki, Yoji
Iwata, Yoshinori
Kudo, Yasushi
Nakayama, Ataru
Nakamura, Masafumi
… (more) - Abstract:
- Abstract : Objectives: The aim of this study was to assess prevailing treatment of pancreatolithiasis in Japan. Methods: We surveyed clinical data from 1834 patients (1479 men and 355 women) at 125 hospitals. Results: Extracorporeal shock-wave lithotripsy (ESWL) was performed alone in 103 patients (5.6%), ESWL plus an endoscopic procedure in 446 (24.3%), endoscopic treatment alone in 261 (14.2%), and surgery in 167 (9.1%). Other treatments were given to 358 (19.5%), whereas 499 (27.2%) received no treatment. Symptoms were relieved in 85.7% after ESWL, 80.8% after endoscopic treatment alone, and 92.8% after surgery. Early complication rates within 3 months after ESWL, endoscopic treatment alone, and surgery were 8%, 4.5%, and 27.1%, respectively. Late complications after ESWL, endoscopic procedures alone, and surgery were 1.7%, 2.5%, and 8.2%, respectively. Symptom relief but also early and late complications were greater after surgery than after ESWL and endoscopic treatment. Among 417 patients undergoing ESWL, 61 (14.6%) required surgery, as did 32 (16%) of 200 patients treated endoscopically. Surgery was required less frequently following initial operative treatment (11/164 patients [6.7%]). Nonsurgical initial treatments were chosen more frequently. Conclusions: First-line treatment of pancreatolithiasis should be ESWL with or without endoscopy because of minimal invasiveness and fewer complications.
- Is Part Of:
- Pancreas. Volume 47:Issue 6(2018)
- Journal:
- Pancreas
- Issue:
- Volume 47:Issue 6(2018)
- Issue Display:
- Volume 47, Issue 6 (2018)
- Year:
- 2018
- Volume:
- 47
- Issue:
- 6
- Issue Sort Value:
- 2018-0047-0006-0000
- Page Start:
- Page End:
- Publication Date:
- 2018-07
- Subjects:
- chronic pancreatitis -- endoscopic pancreatic sphincterotomy -- endoscopic removal of pancreatic stones -- extracorporeal shock-wave lithotripsy -- pancreatic ductal decompression surgery
Pancreas -- Diseases -- Periodicals
Pancreas -- Periodicals
Neuroendocrine tumors -- Periodicals
616.37005 - Journal URLs:
- http://ovidsp.ovid.com/ovidweb.cgi?T=JS&NEWS=n&CSC=Y&PAGE=toc&D=yrovft&AN=00006676-000000000-00000 ↗
http://www.pancreasjournal.com ↗
http://journals.lww.com/pancreasjournal/pages/default.aspx ↗
http://journals.lww.com ↗ - DOI:
- 10.1097/MPA.0000000000001071 ↗
- Languages:
- English
- ISSNs:
- 0885-3177
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 6357.351500
British Library DSC - BLDSS-3PM
British Library STI - ELD Digital store - Ingest File:
- 10513.xml