Management of pancreatolithiasis

A nationwide survey in Japan

Kazuo Inui, Atsushi Masamune, Yoshinori Igarashi, Hirotaka Ohara, Susumu Tazuma, Masanori Sugiyama, Yutaka Suzuki, Hironao Miyoshi, Satoshi Yamamoto, Yoshifumi Takeyama, Eriko Nakano, Kensuke Takuma, Junichi Sakagami, Kazuki Hayashi, Atsuko Kogure, Tetsuya Ito, Tsuyoshi Mukai, Iruru Maetani, Masatsugu Nagahama, Masahiro Serikawa & 17 others Toshiharu Ueki, Ken Furuya, Hiroyuki Isayama, Ichiro Moriyama, Masaya Shigeno, Kazuhiro Mizukami, Atsushi Nanashima, Shuhei Oana, Atsushi Ikehata, Noriko Watanabe, Yoshiki Hirooka, Keiichiro Ogoshi, Yoji Sasaki, Yoshinori Iwata, Yasushi Kudo, Ataru Nakayama, Masafumi Nakamura

Research output: Contribution to journalReview article

2 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)708-714
Number of pages7
JournalPancreas
Volume47
Issue number6
DOIs
Publication statusPublished - Jul 1 2018

Fingerprint

Lithotripsy
Japan
Shock
Therapeutics
Surveys and Questionnaires
Endoscopy

All Science Journal Classification (ASJC) codes

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Hepatology
  • Endocrinology

Cite this

Inui, K., Masamune, A., Igarashi, Y., Ohara, H., Tazuma, S., Sugiyama, M., ... Nakamura, M. (2018). Management of pancreatolithiasis: A nationwide survey in Japan. Pancreas, 47(6), 708-714. https://doi.org/10.1097/MPA.0000000000001071

Management of pancreatolithiasis : A nationwide survey in Japan. / Inui, Kazuo; Masamune, Atsushi; Igarashi, Yoshinori; Ohara, Hirotaka; Tazuma, Susumu; Sugiyama, Masanori; Suzuki, Yutaka; Miyoshi, Hironao; Yamamoto, Satoshi; Takeyama, Yoshifumi; Nakano, Eriko; Takuma, Kensuke; Sakagami, Junichi; Hayashi, Kazuki; Kogure, Atsuko; Ito, Tetsuya; Mukai, Tsuyoshi; Maetani, Iruru; Nagahama, Masatsugu; Serikawa, Masahiro; Ueki, Toshiharu; Furuya, Ken; Isayama, Hiroyuki; Moriyama, Ichiro; Shigeno, Masaya; Mizukami, Kazuhiro; Nanashima, Atsushi; Oana, Shuhei; Ikehata, Atsushi; Watanabe, Noriko; Hirooka, Yoshiki; Ogoshi, Keiichiro; Sasaki, Yoji; Iwata, Yoshinori; Kudo, Yasushi; Nakayama, Ataru; Nakamura, Masafumi.

In: Pancreas, Vol. 47, No. 6, 01.07.2018, p. 708-714.

Research output: Contribution to journalReview article

Inui, K, Masamune, A, Igarashi, Y, Ohara, H, Tazuma, S, Sugiyama, M, Suzuki, Y, Miyoshi, H, Yamamoto, S, Takeyama, Y, Nakano, E, Takuma, K, Sakagami, J, Hayashi, K, Kogure, A, Ito, T, Mukai, T, Maetani, I, Nagahama, M, Serikawa, M, Ueki, T, Furuya, K, Isayama, H, Moriyama, I, Shigeno, M, Mizukami, K, Nanashima, A, Oana, S, Ikehata, A, Watanabe, N, Hirooka, Y, Ogoshi, K, Sasaki, Y, Iwata, Y, Kudo, Y, Nakayama, A & Nakamura, M 2018, 'Management of pancreatolithiasis: A nationwide survey in Japan', Pancreas, vol. 47, no. 6, pp. 708-714. https://doi.org/10.1097/MPA.0000000000001071
Inui K, Masamune A, Igarashi Y, Ohara H, Tazuma S, Sugiyama M et al. Management of pancreatolithiasis: A nationwide survey in Japan. Pancreas. 2018 Jul 1;47(6):708-714. https://doi.org/10.1097/MPA.0000000000001071
Inui, Kazuo ; Masamune, Atsushi ; Igarashi, Yoshinori ; Ohara, Hirotaka ; Tazuma, Susumu ; Sugiyama, Masanori ; Suzuki, Yutaka ; Miyoshi, Hironao ; Yamamoto, Satoshi ; Takeyama, Yoshifumi ; Nakano, Eriko ; Takuma, Kensuke ; Sakagami, Junichi ; Hayashi, Kazuki ; Kogure, Atsuko ; Ito, Tetsuya ; Mukai, Tsuyoshi ; Maetani, Iruru ; Nagahama, Masatsugu ; Serikawa, Masahiro ; Ueki, Toshiharu ; Furuya, Ken ; Isayama, Hiroyuki ; Moriyama, Ichiro ; Shigeno, Masaya ; Mizukami, Kazuhiro ; Nanashima, Atsushi ; Oana, Shuhei ; Ikehata, Atsushi ; Watanabe, Noriko ; Hirooka, Yoshiki ; Ogoshi, Keiichiro ; Sasaki, Yoji ; Iwata, Yoshinori ; Kudo, Yasushi ; Nakayama, Ataru ; Nakamura, Masafumi. / Management of pancreatolithiasis : A nationwide survey in Japan. In: Pancreas. 2018 ; Vol. 47, No. 6. pp. 708-714.
@article{28211e5c075a480a94366b0d46a5e1a7,
title = "Management of pancreatolithiasis: A nationwide survey in Japan",
abstract = "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.",
author = "Kazuo Inui and Atsushi Masamune and Yoshinori Igarashi and Hirotaka Ohara and Susumu Tazuma and Masanori Sugiyama and Yutaka Suzuki and Hironao Miyoshi and Satoshi Yamamoto and Yoshifumi Takeyama and Eriko Nakano and Kensuke Takuma and Junichi Sakagami and Kazuki Hayashi and Atsuko Kogure and Tetsuya Ito and Tsuyoshi Mukai and Iruru Maetani and Masatsugu Nagahama and Masahiro Serikawa and Toshiharu Ueki and Ken Furuya and Hiroyuki Isayama and Ichiro Moriyama and Masaya Shigeno and Kazuhiro Mizukami and Atsushi Nanashima and Shuhei Oana and Atsushi Ikehata and Noriko Watanabe and Yoshiki Hirooka and Keiichiro Ogoshi and Yoji Sasaki and Yoshinori Iwata and Yasushi Kudo and Ataru Nakayama and Masafumi Nakamura",
year = "2018",
month = "7",
day = "1",
doi = "10.1097/MPA.0000000000001071",
language = "English",
volume = "47",
pages = "708--714",
journal = "Pancreas",
issn = "0885-3177",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

TY - JOUR

T1 - Management of pancreatolithiasis

T2 - A nationwide survey in Japan

AU - Inui, Kazuo

AU - Masamune, Atsushi

AU - Igarashi, Yoshinori

AU - Ohara, Hirotaka

AU - Tazuma, Susumu

AU - Sugiyama, Masanori

AU - Suzuki, Yutaka

AU - Miyoshi, Hironao

AU - Yamamoto, Satoshi

AU - Takeyama, Yoshifumi

AU - Nakano, Eriko

AU - Takuma, Kensuke

AU - Sakagami, Junichi

AU - Hayashi, Kazuki

AU - Kogure, Atsuko

AU - Ito, Tetsuya

AU - Mukai, Tsuyoshi

AU - Maetani, Iruru

AU - Nagahama, Masatsugu

AU - Serikawa, Masahiro

AU - Ueki, Toshiharu

AU - Furuya, Ken

AU - Isayama, Hiroyuki

AU - Moriyama, Ichiro

AU - Shigeno, Masaya

AU - Mizukami, Kazuhiro

AU - Nanashima, Atsushi

AU - Oana, Shuhei

AU - Ikehata, Atsushi

AU - Watanabe, Noriko

AU - Hirooka, Yoshiki

AU - Ogoshi, Keiichiro

AU - Sasaki, Yoji

AU - Iwata, Yoshinori

AU - Kudo, Yasushi

AU - Nakayama, Ataru

AU - Nakamura, Masafumi

PY - 2018/7/1

Y1 - 2018/7/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=85049033612&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85049033612&partnerID=8YFLogxK

U2 - 10.1097/MPA.0000000000001071

DO - 10.1097/MPA.0000000000001071

M3 - Review article

VL - 47

SP - 708

EP - 714

JO - Pancreas

JF - Pancreas

SN - 0885-3177

IS - 6

ER -