Vol. 101 No. 11 (2022), Case report
Vol. 101 No. 11 (2022)

Extracorporeal shockwave lithotripsy in combination with endoscopy as a treatment modality for painful chronic obstructive pancreatitis – a case repor

Case report
Published 2022-11-15
T. Tichy
1 2nd Department of Internal Medicine – Gastroenterology and Geriatrics, University Hospital Olomouc, Olomouc, Czech Republic; 2 Faculty of Medicine and Dentistry, Palacky University Olomouc, Olomouc, Czech Republic;
P. Tichy
1 2nd Department of Internal Medicine – Gastroenterology and Geriatrics, University Hospital Olomouc, Olomouc, Czech Republic; 2 Faculty of Medicine and Dentistry, Palacky University Olomouc, Olomouc, Czech Republic;
P. Falt
1 2nd Department of Internal Medicine – Gastroenterology and Geriatrics, University Hospital Olomouc, Olomouc, Czech Republic; 2 Faculty of Medicine and Dentistry, Palacky University Olomouc, Olomouc, Czech Republic;
L. Kunovsky
1 2nd Department of Internal Medicine – Gastroenterology and Geriatrics, University Hospital Olomouc, Olomouc, Czech Republic; 2 Faculty of Medicine and Dentistry, Palacky University Olomouc, Olomouc, Czech Republic; 3 Department of Surgery, University Hospital Brno, Brno, Czech Republic; 4 Faculty of Medicine, Masaryk University, Brno, Czech Republic; 5 Department of Gastroenterology and Digestive Endoscopy, Masaryk Memorial Cancer Institute, Brno, Czech Republic.
V. Zoundjiekpon
1 2nd Department of Internal Medicine – Gastroenterology and Geriatrics, University Hospital Olomouc, Olomouc, Czech Republic; 2 Faculty of Medicine and Dentistry, Palacky University Olomouc, Olomouc, Czech Republic;
A. Vidlar
2 Faculty of Medicine and Dentistry, Palacky University Olomouc, Olomouc, Czech Republic; 6 Department of Urology, University Hospital Olomouc, Olomouc, Czech Republic.
O. Urban
1 2nd Department of Internal Medicine – Gastroenterology and Geriatrics, University Hospital Olomouc, Olomouc, Czech Republic; 2 Faculty of Medicine and Dentistry, Palacky University Olomouc, Olomouc, Czech Republic;
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Keywords

chronic pancreatitis
extracorporeal shockwave lithotripsy
pancreatic duct stones
endoscopy

Abstract

Chronic pancreatitis (CP) is a serious condition with a great impact on the quality of life, and it can lead to some serious long-term consequences such as pancreatic cancer or secondary diabetes mellitus. Associated pancreatic exocrine insufficiency leads to malnutrition with weight loss; however, the main symptom of the disease is abdominal pain, often very severe. The primary treatment option for painful CP is pharmacotherapy (pancreatic enzyme replacement therapy, analgesics). If this is not effective, CP can be treated via endoscopy, extracorporeal shockwave lithotripsy (ESWL), their combination, or surgery. We present a case of painful chronic obstructive pancreatitis in a patient successfully treated with ESWL in combination with endoscopy

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