Extracorporeal shock wave lithotripsy for pancreatic and large common bile duct stones

Table 1 Details of extracorporeal shockwave lithotripsy in 1006 patients treated at Asian Institute of Gastroenterology

No. of sessions	n (%)	Shock waves (n)
		Mean	Range
1	292 (29)	4450	(4250-4900)
2	370 (37)	9270	(8800-9940)
3	300 (30)	13 250	(11 800-14 700)
4	32 (3)	18 900	(18 100-19 400)
≥ 5	12 (1)	23 550	(22 100-27 750)
Clearance
Complete cleared	762 (76)
Partially cleared	173 (17)
Failed clearance	71 (7)

Table 2 Efficacy of extracorporeal shockwave lithotripsy for pancreatic calculi

Author	No. of patients	Complete clearance (%)	Pain relief (%)	Follow-up (mo)
Delhaye et al[10]	123	59	85	14
Costamagna et al[12]	35	74	72	27
Kozarek et al[14]	40	-	80	30
Farnbacher et al[27]	125	64	48	29
Dumona ceau et al[20]	29	-	55	51
Adamek et al[16]	80	-	76	40
Tandan et al[7]	1006	76	84	6

Table 3 Pain relief and analgesic use, pre- and post-extracorporeal shockwave lithotripsy[7]

	Post-ESWL		Pre-ESWL
	(n = 846)		(n = 711)
Pain relief VAS (Scale 0-10)			0	326	P < 0.001
	6/10	212	1/10	161
	7/10	320	2/10	96
	8/10	204	3/10	85
	9/10	110	4/10	43
Analgesic use Doses/mo	0	-	0	326	P < 0.001
	1-5	48	1-5	258
	6-10	190	6-10	127
	11-15	385
	> 15	223

VAS: Visual analog score; ESWL: Extracorporeal shockwave lithotripsy.

Table 4 Efficacy of extracorporeal shockwave lithotripsy for large common bile duct calculi

Author	No. of patients	Complete clearance (%)
Adamek et al[27]	79	78.5
Neuhas et al[29]	30	73
Binmoeller et al[28]	10	70
Ellis et al[5]	83	83
Tandan et al[3]	283	84
Kocdor et al[32]	20	85