Therapeutic effect of direct vision-guided lithotripsy with SpyGlass DS for pancreatic duct stones_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 WANG Hongguang , TAO Liying , GUO Qingmei , GUO Xiang , LIU Shizhu

Department of Gastroenterology, Jilin People’s Hospital, Jilin 132001, P. R. China;

Corresponding author：

WANG Hongguang, Email: 406346148@qq.com

Keywords：

pancreatic duct stone; SpyGlass DS; encoscopic retrograde cholangio-pancreatography; lithotripsy

DOI：

10.7507/1007-9424.202112088

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To evaluate the efficacy of direct vision guided lithotripsy with SpyGlass DS in the treatment of pancreatic duct obstruction caused by chronic calcified pancreatitis and pancreatic duct stones. Methods The clinical data of 9 patients with chronic calcified pancreatitis and pancreatic duct stone who underwent direct-vision guided pancreatic duct stone lithotripsy with SpyGlass DS from July 2017 to September 2017 in the Department of Gastroenterology of Jilin People’s Hospital were retrospectively analyzed, then assessment of technical success rate, clinical success rate, and incidence of adverse event were performed. Results A total of 13 times of intervention were performed in 9 patients, the overall technical success rate of SpyGlass DS direct vision lithotripsy and drainage was 88.9% (8/9). Three of the 9 patients (30.3%) had adverse reactions, including self-limiting bleeding after sphincterotomy (n=1), post-encoscopic retrograde cholangio-pancreatography pancreatitis (n=2), and mild abdominal pain (n=2). Nine patients were followed-up for 3－50 months (median of 21 months), 8 patients (88.89%) reported improvement in abdominal pain, and the mean visual analogue scale score decreased from 6.22±1.47 to 2.78±1.23, P<0.01. Eight patients (88.9%) patients achieved clinical success. Conclusion The SpyGlass DS direct vision-guided lithotripsy is safe and effective for patients with pancreatic duct stones.

Citation： WANG Hongguang, TAO Liying, GUO Qingmei, GUO Xiang, LIU Shizhu. Therapeutic effect of direct vision-guided lithotripsy with SpyGlass DS for pancreatic duct stones. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2022, 29(2): 157-161. doi: 10.7507/1007-9424.202112088 Copy

1.	Attwell AR, Patel S, Kahaleh M, et al. ERCP with per-oral pancreatoscopy-guided laser lithotripsy for calcific chronic pancreatitis: a multicenter U. S. experience. Gastrointest Endosc, 2015, 82(2): 311-318.
2.	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(3): 231-236.
3.	Lawrence C, Siddiqi MF, Hamilton JN, et al. Chronic calcific pancreatitis: combination ERCP and extracorporeal shock wave lithotripsy for pancreatic duct stones. South Med J, 2010, 103(6): 505-508.
4.	Seven G, Schreiner MA, Ross AS, et al. Long-term outcomes associated with pancreatic extracorporeal shock wave lithotripsy for chronic calcific pancreatitis. Gastrointest Endosc, 2012, 75(5): 997-1004.
5.	Tandan M, Reddy DN, Talukdar R, et al. Long-term clinical outcomes of extracorporeal shockwave lithotripsy in painful chronic calcific pancreatitis. Gastrointest Endosc, 2013, 78(5): 726-733.
6.	Gerges C, Pullmann D, Bahin F, et al. SpyGlass DS-guided lithotripsy for pancreatic duct stones in symptomatic treatment-refractory chronic calcifying pancreatitis. Endosc Int Open, 2019, 7(2): E99-E103.
7.	Hawker GA, Mian S, Kendzerska T, et al. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res (Hoboken), 2011, 63 Suppl 11: S240-S252.
8.	王洛伟, 李兆申, 李淑德, 等. 慢性胰腺炎全国多中心流行病学调查. 胰腺病学, 2007, 7(1): 1-5.
9.	尹振宇, 刘乾, 李晓梅, 等. ERCP治疗胰管结石. 中华肝脏外科手术学电子杂志, 2020, 9(5): 466-470.
10.	Hu LH, Ye B, Yang YG, et al. Extracorporeal shock wave lithotripsy for chinese patients with pancreatic stones: a prospective study of 214 cases. Pancreas, 2016, 45(2): 298-305.
11.	Dumonceau JM, Delhaye M, Tringali A, et al. Endoscopic treatment of chronic pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Updated August 2018. Endoscopy, 2019, 51(2): 179-193.
12.	Korpela T, Udd M, Tenca A, et al. Long-term results of combined ESWL and ERCP treatment of chronic calcific pancreatitis. Scand J Gastroenterol, 2016, 51(7): 866-871.
13.	Moole H, Jaeger A, Bechtold ML, et al. Success of extracorporeal shock wave lithotripsy in chronic calcific pancreatitis management: a meta-analysis and systematic review. Pancreas, 2016, 45(5): 651-658.
14.	刘雨, 胡良皞. 慢性胰腺炎的内镜治疗. 临床肝胆病杂志, 2020, 36(8): 1691-1697.
15.	全志伟, 汤朝晖, 张文杰. 重视内镜技术在胆道疾病外科诊治中的规范应用. 中国实用外科杂志, 2017, 37(8): 832-837.
16.	Imanishi M, Ogura T, Kurisu Y, et al. A feasibility study of digital single-operator cholangioscopy for diagnostic and therapeutic procedure (with videos). Medicine (Baltimore), 2017, 96(15): e6619. doi: 10.1097/MD.0000000000006619.
17.	Navaneethan U, Hasan MK, Kommaraju K, et al. Digital, single-operator cholangiopancreatoscopy in the diagnosis and management of pancreatobiliary disorders: a multicenter clinical experience (with video). Gastrointest Endosc, 2016, 84(4): 649-655.
18.	Attwell AR, Brauer BC, Chen YK, et al. Endoscopic retrograde cholangiopancreatography with per oral pancreatoscopy for calcific chronic pancreatitis using endoscope and catheter-based pancreatoscopes: a 10-year single-center experience. Pancreas, 2014, 43(2): 268-274.

1. Attwell AR, Patel S, Kahaleh M, et al. ERCP with per-oral pancreatoscopy-guided laser lithotripsy for calcific chronic pancreatitis: a multicenter U. S. experience. Gastrointest Endosc, 2015, 82(2): 311-318.
2. 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(3): 231-236.
3. Lawrence C, Siddiqi MF, Hamilton JN, et al. Chronic calcific pancreatitis: combination ERCP and extracorporeal shock wave lithotripsy for pancreatic duct stones. South Med J, 2010, 103(6): 505-508.
4. Seven G, Schreiner MA, Ross AS, et al. Long-term outcomes associated with pancreatic extracorporeal shock wave lithotripsy for chronic calcific pancreatitis. Gastrointest Endosc, 2012, 75(5): 997-1004.
5. Tandan M, Reddy DN, Talukdar R, et al. Long-term clinical outcomes of extracorporeal shockwave lithotripsy in painful chronic calcific pancreatitis. Gastrointest Endosc, 2013, 78(5): 726-733.
6. Gerges C, Pullmann D, Bahin F, et al. SpyGlass DS-guided lithotripsy for pancreatic duct stones in symptomatic treatment-refractory chronic calcifying pancreatitis. Endosc Int Open, 2019, 7(2): E99-E103.
7. Hawker GA, Mian S, Kendzerska T, et al. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res (Hoboken), 2011, 63 Suppl 11: S240-S252.
8. 王洛伟, 李兆申, 李淑德, 等. 慢性胰腺炎全国多中心流行病学调查. 胰腺病学, 2007, 7(1): 1-5.
9. 尹振宇, 刘乾, 李晓梅, 等. ERCP治疗胰管结石. 中华肝脏外科手术学电子杂志, 2020, 9(5): 466-470.
10. Hu LH, Ye B, Yang YG, et al. Extracorporeal shock wave lithotripsy for chinese patients with pancreatic stones: a prospective study of 214 cases. Pancreas, 2016, 45(2): 298-305.
11. Dumonceau JM, Delhaye M, Tringali A, et al. Endoscopic treatment of chronic pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Updated August 2018. Endoscopy, 2019, 51(2): 179-193.
12. Korpela T, Udd M, Tenca A, et al. Long-term results of combined ESWL and ERCP treatment of chronic calcific pancreatitis. Scand J Gastroenterol, 2016, 51(7): 866-871.
13. Moole H, Jaeger A, Bechtold ML, et al. Success of extracorporeal shock wave lithotripsy in chronic calcific pancreatitis management: a meta-analysis and systematic review. Pancreas, 2016, 45(5): 651-658.
14. 刘雨, 胡良皞. 慢性胰腺炎的内镜治疗. 临床肝胆病杂志, 2020, 36(8): 1691-1697.
15. 全志伟, 汤朝晖, 张文杰. 重视内镜技术在胆道疾病外科诊治中的规范应用. 中国实用外科杂志, 2017, 37(8): 832-837.
16. Imanishi M, Ogura T, Kurisu Y, et al. A feasibility study of digital single-operator cholangioscopy for diagnostic and therapeutic procedure (with videos). Medicine (Baltimore), 2017, 96(15): e6619. doi: 10.1097/MD.0000000000006619.
17. Navaneethan U, Hasan MK, Kommaraju K, et al. Digital, single-operator cholangiopancreatoscopy in the diagnosis and management of pancreatobiliary disorders: a multicenter clinical experience (with video). Gastrointest Endosc, 2016, 84(4): 649-655.
18. Attwell AR, Brauer BC, Chen YK, et al. Endoscopic retrograde cholangiopancreatography with per oral pancreatoscopy for calcific chronic pancreatitis using endoscope and catheter-based pancreatoscopes: a 10-year single-center experience. Pancreas, 2014, 43(2): 268-274.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Therapeutic effect of direct vision-guided lithotripsy with SpyGlass DS for pancreatic duct stones

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