RESUMO
OBJECTIVE: To evaluate the effectiveness and safety of electrohydraulic lithotripsy of calculi of the main pancreatic duct using ultrathin SpyGlass DS endoscope. MATERIAL AND METHODS: The study included 29 patients with chronic calcifying pancreatitis and obstructive calculi of the main pancreatic duct. All surgeries were carried out between 2018 and 2023. RESULTS: Complete removal of calculi (≥5 mm) within one procedure was achieved in 25 (86%) patients. CONCLUSION: Pancreatoscopy with electrohydraulic lithotripsy using the digital SpyGlass DS system (BostonScientificCorp, Marlborough, MA) is the most effective method for calculi of the main pancreatic duct.
Assuntos
Litotripsia , Pancreatite Crônica , Humanos , Pancreatite Crônica/cirurgia , Pancreatite Crônica/diagnóstico , Litotripsia/métodos , Masculino , Pessoa de Meia-Idade , Feminino , Ductos Pancreáticos/cirurgia , Adulto , Cálculos/cirurgia , Cálculos/diagnóstico , Resultado do Tratamento , Endoscopia do Sistema Digestório/métodos , Endoscopia do Sistema Digestório/instrumentação , Colangiopancreatografia Retrógrada Endoscópica/métodos , Calcinose/cirurgia , Calcinose/diagnósticoRESUMO
The authors present differential diagnosis of parasitic invasion of the common bile duct. A 52-year-old patient admitted with malignant bile duct obstruction, mechanical jaundice, cholestatic hepatitis and cholangitis. Bile duct tumor was preliminary diagnosed according to anamnesis, complaints, physical, laboratory and instrumental data. Retrograde cholangiopancreatography, endoscopic papillotomy and revision of the common bile duct were performed. There was occlusion at the level of the upper third of the common bile duct. Retrograde cholangioscopy was performed to clarify the nature of obstruction and tumor. Cholangioscopy revealed parasites in the common bile duct that required extraction. The patient was sent to the infectious disease hospital.
