ESWL with ERP helpful in short term but not long term for patients with chronic pancreatitis

ESWL with ERP helpful in short term but not long term for patients with chronic pancreatitis

Abstract: https://www.acpjournals.org/doi/10.7326/M24-0210   

URL goes live when the embargo lifts      

A randomized trial of persons with chronic pancreatitis found that the use of extracorporeal shockwave lithotripsy (ESWL) endoscopic retrograde pancreatography (ERP) provide modest short-term pain relief. The study is published in Annals of Internal Medicine.

Researchers from the Asian Institute of Gastroenterology and Aalborg University Hospital conducted a sham-controlled randomized trial of 106 persons with chronic pancreatitis to investigate the pain-relieving effect of pancreatic duct decompression. Fifty-two patients were assigned ESWL with ERP and 54 were assigned to the sham group. After 12 weeks, participants receiving ESWL with ERP showed better pain relief compared with the sham group. However, the difference between groups was not sustained at the 24-week follow-up, and no differences were seen for 30% pain relief at 12- or 24-week follow-up.

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