Health Condition 1: K868- Other specified diseases of pancreas
Conditions
Interventions
Intervention1: ESWL Group: ESWL will be performed using a (Dornier Compact Delta II, Germany). A maximum of 7,000 to 8,000 shocks will be delivered per session with an intensity of 70 kV at a frequenc
Boston Scientific) direct visualization system which allows direct visualization of PD stones during ERCP. The visualized stones will be fragmented using Holmium laser and stone extraction done using
Sponsors
Endoscopy Research Foundation
Eligibility
Inclusion criteria
Inclusion criteria: 1. Adult patients age >18 years of either sex with a dilated PD with ductal stones in head and proximal body, based on ultrasonography, computed tomography, magnetic resonance imaging, or previous ERCP will be included. 2. Patients who agree to sign the informed consent form
Exclusion criteria
Exclusion criteria: 1. Ongoing or Recent pancreatitis 2. Pancreatic malignancy 3. Pancreatic fluid collections 4. Presence of ascites and Pseudocysts 5. Patients with decompensated chronic liver disease 6. Patients with Coagulopathy 7. Patients with Chronic Kidney Disease 8. Pregnancy 9. Past history of pancreatic surgery 10.Isolated tail calculi 11.Patients with multiple strictures
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Outcome of pancreatoscopy with laser lithotripsy for pancreatic ductal clearance on ERP 2. Outcome of ESWL for pancreatic ductal clearance on ERPTimepoint: At end of study | — |
Secondary
| Measure | Time frame |
|---|---|
| Safety of Spyglass and ESWLTimepoint: At end of study | — |
Countries
India
Contacts
Public ContactDr Amit Maydeo
Baldota Institute of Digestive Sciences
Outcome results
None listed