Korean J Pancreas Biliary Tract.  2019 Jul;24(3):89-94. 10.15279/kpba.2019.24.3.89.

Management Algorithm of Pancreatic Calculi

  • 1Department of Internal Medicine, Dongguk University Ilsan Hospital, Goyang, Korea. jeromee1971@yahoo.co.kr
  • 2Department of Internal Medicine, Dongguk University College of Medicine, Goyang, Korea.


Pancreatic calculi associated with chronic pancreatitis lead to severe abdominal pain, which significantly reduces the quality of life of patients. Pancreatic calculi, especially those that obstruct the main pancreatic duct and cause abdominal pain, are considered to be treated. First, if pancreatic calculi are located in the head or body and the size is less than 5 mm, endoscopic removal can be attempted. If the size is greater than 5 mm, extracorporeal shockwave lithotripsy may be performed first, and subsequent endoscopic removal may be considered depending on the results. If such treatment fails, pancreatoscopic lithotripsy or surgery should be considered. Pancreatic duct stenting may be used as a bridge therapy during this process.


Chronic pancreatitis; Pancreatic ducts; Calculi; Therapy; Lithotripsy
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