Abstract
Chronic pancreatitis is an inflammatory disease of the pancreas with potentially debilitating effects, not only on the exocrine and endocrine function of the gland but also on the patient's general quality of life, with pain being a significant component.1 Calcification of the gland is common, and intraductal stones, causing ductal obstruction, are thought to be a major contributor to pain in these patients2 as a result of obstructed outflow and increased hydrostatic ductal pressure. The standard therapeutic approach is fluoroscopy-guided extracorporeal shock wave lithotripsy (ESWL) followed by endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy and duct clearance,3 although some units prefer an initial ERCP with sphincterotomy first to assess the situation or make a trial drainage with stenting alongside the stone.
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