Extracorporeal shock wave lithotripsy in the management of chronic calcific pancreatitis: a meta-analysis
Main pancreatic duct stones may contribute to pain in chronic pancreatitis. Extracorporeal shock wave lithotripsy (ESWL) has been used alone or in combination with endoscopic therapy for fragmentation of stones. Published studies have shown mixed efficacy due to small sample size. Systematic analysi...
Saved in:
Published in | Journal of the Pancreas Vol. 6; no. 1; pp. 6 - 12 |
---|---|
Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
Italy
13.01.2005
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | Main pancreatic duct stones may contribute to pain in chronic pancreatitis. Extracorporeal shock wave lithotripsy (ESWL) has been used alone or in combination with endoscopic therapy for fragmentation of stones. Published studies have shown mixed efficacy due to small sample size.
Systematic analysis of all published data evaluating ESWL with or without endoscopic therapy in pancreatic duct clearance and symptom relief.
Two investigators independently reviewed the computer databases. 31 potential studies were identified. Only studies using ESWL with or without endoscopic therapy were included. Completeness of the search was confirmed by an expert. Studies were independently coded by two investigators and differences rectified by mutual consent.
Pain at follow-up and duct clearance.
Seventeen studies published between 1989 and 2002 were included. Sixteen had a measure of pain at follow-up and duct clearance. All studies were case series with a total of 588 subjects, and included varying number of subjects undergoing endoscopic pancreatic sphincterotomy and stone extraction. The mean effect size (weighted correlation coefficient) for pain was 0.6215 and for duct clearance was 0.7432; thus indicating a large effect. All studies showed homogeneity suggesting similar effect size irrespective of the combinations of therapy.
ESWL is effective in clearance of stones from the pancreatic duct and in relief of pain. Published studies showed homogeneity of the effect size of ESWL both in pancreatic duct clearance and relief of pain. |
---|---|
AbstractList | CONTEXTMain pancreatic duct stones may contribute to pain in chronic pancreatitis. Extracorporeal shock wave lithotripsy (ESWL) has been used alone or in combination with endoscopic therapy for fragmentation of stones. Published studies have shown mixed efficacy due to small sample size.OBJECTIVESystematic analysis of all published data evaluating ESWL with or without endoscopic therapy in pancreatic duct clearance and symptom relief.METHODSTwo investigators independently reviewed the computer databases. 31 potential studies were identified. Only studies using ESWL with or without endoscopic therapy were included. Completeness of the search was confirmed by an expert. Studies were independently coded by two investigators and differences rectified by mutual consent.MAIN OUTCOME MEASURESPain at follow-up and duct clearance.RESULTSSeventeen studies published between 1989 and 2002 were included. Sixteen had a measure of pain at follow-up and duct clearance. All studies were case series with a total of 588 subjects, and included varying number of subjects undergoing endoscopic pancreatic sphincterotomy and stone extraction. The mean effect size (weighted correlation coefficient) for pain was 0.6215 and for duct clearance was 0.7432; thus indicating a large effect. All studies showed homogeneity suggesting similar effect size irrespective of the combinations of therapy.CONCLUSIONSESWL is effective in clearance of stones from the pancreatic duct and in relief of pain. Published studies showed homogeneity of the effect size of ESWL both in pancreatic duct clearance and relief of pain. Main pancreatic duct stones may contribute to pain in chronic pancreatitis. Extracorporeal shock wave lithotripsy (ESWL) has been used alone or in combination with endoscopic therapy for fragmentation of stones. Published studies have shown mixed efficacy due to small sample size. Systematic analysis of all published data evaluating ESWL with or without endoscopic therapy in pancreatic duct clearance and symptom relief. Two investigators independently reviewed the computer databases. 31 potential studies were identified. Only studies using ESWL with or without endoscopic therapy were included. Completeness of the search was confirmed by an expert. Studies were independently coded by two investigators and differences rectified by mutual consent. Pain at follow-up and duct clearance. Seventeen studies published between 1989 and 2002 were included. Sixteen had a measure of pain at follow-up and duct clearance. All studies were case series with a total of 588 subjects, and included varying number of subjects undergoing endoscopic pancreatic sphincterotomy and stone extraction. The mean effect size (weighted correlation coefficient) for pain was 0.6215 and for duct clearance was 0.7432; thus indicating a large effect. All studies showed homogeneity suggesting similar effect size irrespective of the combinations of therapy. ESWL is effective in clearance of stones from the pancreatic duct and in relief of pain. Published studies showed homogeneity of the effect size of ESWL both in pancreatic duct clearance and relief of pain. |
Author | Partington, Susan Guda, Nalini M Freeman, Martin L |
Author_xml | – sequence: 1 givenname: Nalini M surname: Guda fullname: Guda, Nalini M organization: Gastroenterology Division, Hennepin County Medical Center, University of Minnesota, Minneapolis, MN 55415, USA – sequence: 2 givenname: Susan surname: Partington fullname: Partington, Susan – sequence: 3 givenname: Martin L surname: Freeman fullname: Freeman, Martin L |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/15650279$$D View this record in MEDLINE/PubMed |
BookMark | eNo1kD1PwzAURS0Eoh_wF5AntkjPTR0nbKgqFKkSC8zRi_NCDI4dbBfovycSZbp3OPcMd8HOnXd0xuZCVpCVUqkZW8T4DrACCXDJZkIWElaqmjOz_UkBtQ-jD4SWx97rD_6NX8StSb1PwYzxyI3jqSc-oMM3Gsgl7juu--Cd0Vyj1aabyohOT5Zkkol3HPlACbNpYo_RxCt20aGNdH3KJXt92L5sdtn--fFpc7_PxhVUKRMtgCJCBN1qiQJId02lSq1ANSUWKl8LqrSSXSdRNm2Zi1wBUNMQ6nVR5Ut2--cdg_88UEz1YKIma9GRP8R6MhSyEOsJvDmBh2agth6DGTAc6_9z8l-sPGQg |
ContentType | Journal Article |
DBID | CGR CUY CVF ECM EIF NPM 7X8 |
DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic |
DatabaseTitleList | MEDLINE - Academic MEDLINE |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
DeliveryMethod | fulltext_linktorsrc |
EISSN | 1590-8577 |
EndPage | 12 |
ExternalDocumentID | 15650279 |
Genre | Meta-Analysis Journal Article |
GroupedDBID | --- 123 29L 2WC ACGFO ADBBV ALMA_UNASSIGNED_HOLDINGS BAWUL CGR CUY CVF DIK E3Z ECM EIF F5P FRP GX1 KQ8 M~E NPM OK1 P2P RNS TR2 W2D XSB 7X8 |
ID | FETCH-LOGICAL-p209t-1d007eeaa0cdc5a10ecfb978c707b8a67341e9c75ff5a5bd8313700ebbeac4693 |
IngestDate | Fri Apr 12 01:30:43 EDT 2024 Tue Jul 04 16:58:45 EDT 2023 |
IsPeerReviewed | false |
IsScholarly | true |
Issue | 1 |
Language | English |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-p209t-1d007eeaa0cdc5a10ecfb978c707b8a67341e9c75ff5a5bd8313700ebbeac4693 |
Notes | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23 |
PMID | 15650279 |
PQID | 67365614 |
PQPubID | 23479 |
PageCount | 7 |
ParticipantIDs | proquest_miscellaneous_67365614 pubmed_primary_15650279 |
PublicationCentury | 2000 |
PublicationDate | 2005-Jan-13 |
PublicationDateYYYYMMDD | 2005-01-13 |
PublicationDate_xml | – month: 01 year: 2005 text: 2005-Jan-13 day: 13 |
PublicationDecade | 2000 |
PublicationPlace | Italy |
PublicationPlace_xml | – name: Italy |
PublicationTitle | Journal of the Pancreas |
PublicationTitleAlternate | JOP |
PublicationYear | 2005 |
SSID | ssj0020500 |
Score | 2.0469534 |
SecondaryResourceType | review_article |
Snippet | Main pancreatic duct stones may contribute to pain in chronic pancreatitis. Extracorporeal shock wave lithotripsy (ESWL) has been used alone or in combination... CONTEXTMain pancreatic duct stones may contribute to pain in chronic pancreatitis. Extracorporeal shock wave lithotripsy (ESWL) has been used alone or in... |
SourceID | proquest pubmed |
SourceType | Aggregation Database Index Database |
StartPage | 6 |
SubjectTerms | Calcinosis - complications Calcinosis - therapy Chronic Disease Humans Lithotripsy Pancreatic Diseases - complications Pancreatic Diseases - therapy Pancreatitis - complications Pancreatitis - therapy |
Title | Extracorporeal shock wave lithotripsy in the management of chronic calcific pancreatitis: a meta-analysis |
URI | https://www.ncbi.nlm.nih.gov/pubmed/15650279 https://search.proquest.com/docview/67365614 |
Volume | 6 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV09b9swFCTiTFmCFvmo0zbl0M2gQVmiaGULCjtB4KYZbMCbQFJPsAfLgSWjSX99H0XKH2iDNF0EgYA48KTjkbp3JOSr1EmkkPeZNP2ERX0TMA1CswyiXBmZoIS1G_rf7-PbSXQ3FdPtgXd1dUmlu-bXX-tK_gdVbENcbZXsG5DddIoNeI_44hURxus_YTx4qlbIaDaL2OYDlzMkt85Pe54QiuvZskJCKJ8bJ-NiY3SpreQuFLeDENWuvA6yghOQ1bx0FdALqBRTPrTkBRFrO35wT27E-c06U464bdXldrv1oU4saPz6e3ag4QrAb8W6XANfDNFsR1jnH3PVpF3wFGqL04U_nMVzbPzHq-T4Mt6ZeL2dei8S-_5HOpyMRul4MB23SCsMrGvzZrpx8fS44PzlxUEtEsbvyLEfGHrtoHpPDqA4IfN9mGgNE7Uw0R2Y6LygOJp0CxNd5tTDRBuY6C5MV1TRPZBOyWQ4GH-7Zf6EC_bY40nFggwlGoBS3GRGqICDyTWu643kUvdVLFFjQGKkyHOhhM76YRBKzkFrnC-jOAnPyGGxLOADoaENtkU1KiSEEeCHFxurfbmOcQbjkWqTL80gpcgg9reQKmC5Lmtnn82DbZNzN3bpows6SXFtL3hPJhevPvuRHG1fhk_ksFqt4TOqtUpf1nj9BkDwTqQ |
link.rule.ids | 315,786,790 |
linkProvider | Geneva Foundation for Medical Education and Research |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Extracorporeal+shock+wave+lithotripsy+in+the+management+of+chronic+calcific+pancreatitis%3A+a+meta-analysis&rft.jtitle=Journal+of+the+Pancreas&rft.au=Guda%2C+Nalini+M&rft.au=Partington%2C+Susan&rft.au=Freeman%2C+Martin+L&rft.date=2005-01-13&rft.eissn=1590-8577&rft.volume=6&rft.issue=1&rft.spage=6&rft.epage=12&rft.externalDBID=NO_FULL_TEXT |