Management of Pancreatolithiasis: A Nationwide Survey in Japan
| Autor: | Masahiro Serikawa, Masaya Shigeno, Eriko Nakano, Satoshi Yamamoto, Hironao Miyoshi, Noriko Watanabe, Masanori Sugiyama, Yutaka Suzuki, Kazuo Inui, Toshiharu Ueki, Yoshifumi Takeyama, Masatsugu Nagahama, Ichiro Moriyama, Kensuke Takuma, Yasushi Kudo, Ken Furuya, Yoshinori Igarashi, Iruru Maetani, Tetsuya Ito, Atsushi Masamune, Yoji Sasaki, Keiichiro Ogoshi, Kazuki Hayashi, Kazuhiro Mizukami, Atsushi Nanashima, Masafumi Nakamura, Yoshinori Iwata, Susumu Tazuma, Junichi Sakagami, Atsushi Ikehata, Tsuyoshi Mukai, Atsuko Kogure, Shuhei Oana, Hiroyuki Isayama, Hirotaka Ohara, Ataru Nakayama, Yoshiki Hirooka |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Endocrinology Diabetes and Metabolism medicine.medical_treatment Pancreatolithiasis Lithotripsy Lithiasis Nationwide survey Extracorporeal 03 medical and health sciences Young Adult 0302 clinical medicine Endocrinology Asian People Japan Internal Medicine medicine Combined Modality Therapy Humans Young adult Child Aged Aged 80 and over Hepatology medicine.diagnostic_test business.industry Pancreatic Diseases Endoscopy Middle Aged Extracorporeal shock wave lithotripsy Health Surveys Surgery Treatment Outcome 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Female business |
| Zdroj: | Pancreas. 47(6) |
| ISSN: | 1536-4828 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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