Endoscopic Removal of Pancreatic Stones: A Modern Solution for Pain Relief

Chronic pancreatitis is a long-term that can cause severe abdominal pain and discomfort. In some patients, stones form inside the pancreatic duct, which can block the flow of digestive enzymes and lead to intense stomach pain. Thankfully, modern medical technology offers minimally invasive solutions to remove these stones using endoscopic techniques.

In this blog, we will explain how pancreatic stones are removed safely and effectively using endoscopy.

What Are Pancreatic Stones?

Pancreatic stones are hard, calcified deposits that form inside the pancreatic duct in patients suffering from chronic pancreatitis. These stones obstruct the normal flow of pancreatic juices, leading to increased pressure and severe abdominal pain.

When the stones are small to medium in size, they can be removed using minimally invasive endoscopic procedures.

Endoscopic Technique for Pancreatic Stone Removal

The most commonly used method for removing pancreatic stones is endoscopic removal. This procedure is done using a flexible tube called an endoscope, which is passed through the mouth to reach the pancreatic duct.

Step-by-Step Process:

• A thin endoscope is guided to the opening of the pancreatic duct.
• A fine guidewire is inserted through the duct.
• A balloon catheter is advanced over the wire.
• The balloon is inflated and gently pulled back to extract the stone.
• The duct is then cleaned to restore normal flow.

This technique helps relieve pain quickly and improves the patient’s quality of life.

Basket Technique for Pancreatic Stone Removal

Another effective method is the basket extraction technique. This method is used when stones are slightly larger or difficult to grasp with a balloon.

How It Works:

• A guidewire is placed inside the pancreatic duct.
• A special basket-shaped device is passed over the wire.
• The basket is opened inside the duct.
• The stone is trapped inside the basket and carefully pulled out.

This method allows doctors to safely remove stones without the need for surgery.

Advanced Technique: Pancreatoscopy and Lithotripsy

In cases where the pancreatic stone is very large, a more advanced procedure called pancreatoscopy with laser lithotripsy is performed.

Procedure Overview:

• A tiny camera called a pancreatoscope is inserted into the pancreatic duct.
• A laser is used to break large stones into smaller fragments.
• The broken stone pieces are then removed using a balloon or basket.

This technique is highly effective for complex cases and avoids the need for open surgery.

Benefits of Endoscopic Stone Removal

• Minimally invasive procedure
• Faster recovery time
• Reduced pain after treatment
• No major surgical cuts required

Conclusion

Endoscopic removal of pancreatic stones has revolutionized the treatment of chronic pancreatitis. Whether using balloon extraction, basket removal, or advanced laser lithotripsy, these techniques provide effective pain relief and significantly improve patient comfort.

If you or a loved one is suffering from chronic pancreatitis-related pain, consult a specialist to explore these modern treatment options.