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  2. VOLUME 10, NUMBER 3, December 2009
  3. Fauzi

Serial Cases of Combining ESWL and ERCP Procedures in Management Chronic Pancreatitis and Difficult Bile Duct Stones

Achmad Fauzi(1), Nur Rasyid(2), Ari Fahrial Syam(3), Murdani Abdullah(4), Dadang Makmun(5), Marcellus Simadibrata(6), Chudahman Manan(7), Abdul Aziz Rani(8), Daldiyono Daldiyono(9),


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Corresponding Author

Abstract


Extracorporeal shock wave lithotripsy (ESWL) has an established role in the management of pancreaticductalcalculiandasfurthertreatmentmodalityforlargeordifficultcomplicatedcommon bile duct(CBD)stones. Combinedwithminimally invasive endoscopic procedure suchasendoscopic retrogradecholangio-pancreatography(ERCP),it has replaced open surgeryas theinitial form of therapy. ESWL has also proved to bean effective therapyin treating intrahepaticstones that are refractory toroutine endoscopic extraction.Inthese serialcaseswe presentthree caseswhichusing combinedESWLandERCP procedurestotreatchronicpancreatitispainandgiantCBDstonethat presentinggoodresultsonfollowupwithoutanycomplication. 
Keywords:ESWL, ERCP,chronicpancreatitis, CBDstone

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DOI: 10.24871/1032009131-135

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