Resumo

PEREZ GONZALEZ, Domingo et al. Extracorporeal shock- wave lithotripsy as a treatment of the calculi of the main pancreatic duct. Rev Cubana Cir [online]. 2004, vol.43, n.3-4, pp. 0-0. ISSN 1561-2945.

The extracorporeal shock waves have been used for several years with good results in the fragmentation of calculi of the gallbladder and of the biliary tract in selected patients. When the calculi of the main pancreatic duct cannot be endoscopically removed, this non-surgical variant is indicated. 4 male patients aged 41-55 with alcoholism history and the diagnosis of chronic pancreatitis with lithiasis in the main duct are presented. 3 of them with more than a calculus received shock waves generated by electromagnetic principle. All the calculi were fragmented. The patient with only one calculus eliminated the fragments spontaneously, whereas in the other 3 it was necessary to associate endoscopy to obtain Wirsung's total cleaning. During the follow-up of more than 5 years it was proved the regression of the symptoms, mainly pain, without relapses

Palavras-chave : Extracorporeal lithotripsy; pancreatic lithiasis; chronic pancreatitis.

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