Meta-Analysis
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Sep 14, 2020; 26(34): 5207-5219
Published online Sep 14, 2020. doi: 10.3748/wjg.v26.i34.5207
Efficacy of pancreatoscopy for pancreatic duct stones: A systematic review and meta-analysis
Syed M Saghir, Harmeet S Mashiana, Babu P Mohan, Banreet S Dhindsa, Amaninder Dhaliwal, Saurabh Chandan, Neil Bhogal, Ishfaq Bhat, Shailender Singh, Douglas G Adler
Syed M Saghir, Banreet S Dhindsa, Department of Internal Medicine, University of Nevada Las Vegas School of Medicine, Las Vegas, NV 89102, United States
Harmeet S Mashiana, Amaninder Dhaliwal, Saurabh Chandan, Neil Bhogal, Ishfaq Bhat, Shailender Singh, Division of Gastroenterology and Hepatology, University of Nebraska School of Medicine, Omaha, NE 68198-2000, United States
Babu P Mohan, Douglas G Adler, Division of Gastroenterology and Hepatology, University of Utah Health, Salt Lake City, UT 84132, United States
Author contributions: Saghir SM, Mashiana HS and Mohan BP contributed to analysis and interpretation of data; Saghir SM and Mashiana HS contributed to drafting the article; Mashiana HS, Dhindsa BS, Dhaliwal A and Bhogal N contributed to acquisition of data; Chandan S, Bhat I and Adler DG contributed to critical revision; Mashiana HS, Singh S and Adler DG contributed to final approval.
Conflict-of-interest statement: The authors deny any conflict of interest.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Douglas G Adler, FACG, FASGE, MD, Professor, Division of Gastroenterology and Hepatology, University of Utah Health, 50 N Medical Dr., Salt Lake City, UT 84132, United States. douglas.adler@hsc.utah.edu
Received: May 28, 2020
Peer-review started: May 28, 2020
First decision: June 12, 2020
Revised: June 29, 2020
Accepted: August 21, 2020
Article in press: August 21, 2020
Published online: September 14, 2020
Core Tip

Core Tip: Current management for symptomatic pancreatic duct stones is extracorporeal shock wave lithotripsy (ESWL) or endoscopic retrograde cholangiopancreatography (ERCP) followed by surgery if the former is unsuccessful. Sparse data exists regarding safety and efficacy of per oral pancreatoscopy (POP)- guided lithotripsy. This is the first systematic review and meta-analysis evaluating safety and efficacy of POP using electrohydraulic lithotripsy and laser lithotripsy. The POP procedure is of interest compared to current standard of care due to the ability to directly visualize pancreatic duct calculi, perform lithotripsy and extract the stones in the same session. ESWL and ERCP require multiple sessions and have low technical success.