We retrospectively evaluated the 98 patients with symptomatic pancreatic duct stones that was treated at our institution between May 2005 and December 2012. We analyzed the outcomes of the MPD stone clearance in the cases treated by EHL or ESWL on an outpatient basis. Results: The successful results were obtained in 67 of 98 patients (74.5%) by combination treatment, 7 of 14 patients (7.1%) by EHL, and 6 of 6 patients (6.1%) by ESWL on an outpatient basis, respectively. Sixteen patients were out

of indication, 12 cases had radiolucent stones, selleck and 4 cases failed in selective pancreatic duct cannulation with radiolucent stones. A total of 87.7% of the patients (80 of 98 patients) resulted in MPD stone clearance. The multivariate analysis showed that GW negotiation across the stone was a statistically significant factor for the stone clearance (odds ratio, 14.1; 95% CI, 0.46 to 43.2; P 0.0003). Conclusion: EHL and ESWL on an outpatient basis, compared with combination treatment of

endoscopic lithotomy and ESWL during admission, increased the composite rate of MPD stones clearance. Key Word(s): 1. EHL; 2. ESWL; Presenting Author: GEORG DIMCEVSKI Additional Authors: FRIEDEMANN ERCHINGER, TROND ENGJOM, DAG HOEM, HELGE RÆDER, TRYGVE HAUSKEN, LAGE AKSNES, ODDHELGE GILJA Corresponding Author: GEORG DIMCEVSKI Affiliations: Depart. of Medicine, Haukeland University Hospital, Depart. of Clinical Medicine, University of Bergen; Voss Hospital, Depart. of Clinical Medicine, University LY294002 clinical trial of Bergen; Surgical Department, Haukeland University Hospital; Pediatric Depart. Haukeland University Hospital, Depart. of Clinical Medicine, University of Bergen; National Centre

for US in Gastroenterology, Depart. of Medicine, HUS, University of Bergen; Department of Clinical Medicine, University of Bergen; National Centre for US in Gastroenterology, Depart. of Medicine, HUS, University of Bergen Objective: Objectives: Standardised direct pancreas function testing does not exist. This makes the diagnosis of moderate chronic pancreatitis (CP) challenging. Using our modified 上海皓元 short endoscopic secretin test (EST), we aimed to grade pancreatic failure in patients with CP after secretin stimulation by measuring bicarbonate and enzymes in duodenal juice. Methods: Methods: Patients with suspected CP and healthy controls underwent EST. Collection of duodenal juice started 30 minutes after secretin stimulation, and lasted 15 minutes. We classified groups of patients in severe CP (>6 points), moderate CP (4–6 points) and non-CP ( < 4 points), by a modified scoring system for CP after Layer. Chymotrypsin, elastase, amylase, lipase and bicarbonate in duodenal juice and f- elastase-1 were analysed in all 4 groups.