Pancreatitis aguda como complicación infrecuente de litotricia extracorpórea por ondas de choque.

Comunicación de un caso

  • Eduardo Moreira Uruguay, Sanatorio COMTA, Unidad de Cuidados Intensivos, Médico Intensivista.
  • Alejandra Suárez Uruguay, Sanatorio COMTA, Unidad de Cuidados Intensivos, Médico Intensivista.
  • Martín Viettro Uruguay, Sanatorio COMTA, Médico de guardia.
  • Nelcio Martínez Uruguay, Sanatorio COMTA, Unidad de Cuidados Intensivos, Médico Intensivista.
  • Edgar Ferreira Uruguay, Sanatorio COMTA, Cirujano de guardia.
  • Jorge Baraibar Uruguay, Sanatorio COMTA, Unidad de Cuidados Intensivos, Médico Intensivista, Jefe.
Palabras clave: PANCREATITIS AGUDA, LITOTRICIA, ONDAS DE CHOQUE DE ALTA ENERGÍA, TRAUMA PANCREÁTICO

Resumen

La litotricia extracorpórea por ondas de choque para el tratamiento de la urolitiasis es un tratamiento ampliamente aceptado, pero no exento de complicaciones. La pancreatitis aguda que se desencadena inmediatamente posterior a este procedimiento es infrecuente, pero puede ser una complicación grave que amenaza la vida del paciente. La aparición aguda de dolor abdominal y vómitos en las horas posteriores al procedimiento, deben hacer al médico tratante sospechar esta complicación. Presentamos el caso de un paciente joven que luego de someterse a una sesión de litotricia para el tratamiento de una litiasis renal derecha instaló una pancreatitis aguda que requirió ingreso a terapia intensiva y que se suma a los escasos informes de casos publicados en la literatura médica.

Citas

(1) Sah RP, Dawra RK, Saluja AK. New insights into the pathogenesis of pancreatitis. Curr Opin Gastroenterol 2013; 29(5):523-30.
(2) van Dijk SM, Hallensleben NDL, van Santvoort HC, Fockens P, van Goor H, Bruno MJ, et al. Acute pancreatitis: recent advances through randomised trials. Gut 2017; 66(11):2024-32. doi: 10.1136/gutjnl-2016-313595.
(3) Forsmark ChE, Vege SS, Wilcox CM. Acute pancreatitis. N Engl J Med 2017; 376(6):598-9. doi: 10.1056/ NEJMc1616177.
(4) Zhong P, Preminger GM. Physics of shock-wave lithotripsy. En: Coe FL, Favus MJ, Pak CY, Parks JH, Preminger GM, eds. Kidney stones: medical and surgical management. Philadelphia: Lippincott-Raven Publishers, 1996:529-48.
(5) Rassweiler JJ, Köhrmann KU, Seemann O, Tschada R, Alken PM. Clinical comparison of ESWL. En: Coe FL, Favus MJ, Pak CY, Parks JH, Preminger GM, eds. Kidney stones: medical and surgical management. Philadelphia: Lippincott-Raven Publishers, 1996:571-605.
(6) Maker V, Layke J. Gastrointestinal injury secondary to extracorporeal shock wave lithotripsy: a review of the literature since its inception. J Am Coll Surg 2004; 198(1):128-35.
(7) Conlin MJ. Complications of extracorporeal shock wave lithotripsy. En: Taneja SS, Smith RB, Ehrlich RM, eds. Complications of Urologic Surgery. Philadelphia: Saunders, 2001:155-64.
(8) Debi U, Kaur R, Prasad KK, Sinha SK, Sinha A, Singh K. Pancreatic trauma: a concise review. World J Gastroenterol 2013; 19(47):9003-11. doi: 10.3748/wjg.v19.i47.9003.
(9) Maker V, Layke J. Gastrointestinal injury secondary to extracorporeal shock wave lithotripsy: a review of the literature since its inception. J Am Coll Surg 2004; 198(1):128-35.
(10) Hung SY, Chen HM, Jan YY, Chen MF. Common bile duct and pancreatic injury after extracorporeal shock wave lithotripsy for renal stone. Hepatogastroenterology 2000; 47(34):1162-3.
(11) Mullen KD, Hoofnagle JH, Jones EA. Shock wave-induced pancreatic trauma. Am J Gastroenterol 1991; 86(5):630-2.
(12) Weng CH, Ho PY, Tsai CC, Hsu JM, Chen M, Lin WR. Severe acute pancreatitis with abscess after extracorporeal shock wave lithotripsy: a rare complication. Urolithiasis 2013; 41(2):133-6. doi: 10.1007/s00240-012-0535-6.
(13) Abe H, Nisimura T, Osawa S, Miura T, Oka F. Acute pancreatitis caused by extracorporeal shock wave lithotripsy for bilateral renal pelvic calculi. Int J Urol 2000; 7(2):65-8.
(14) Banks PA, Freeman ML. Practice guidelines in acute pancreatitis. Am J Gastroenterol 2006; 101(10):2379-400.
(15) Yang CJ, Chen J, Phillips AR, Windsor JA, Petrov MS. Predictors of severe and critical acute pancreatitis: a systematic review. Dig Liver Dis 2014; 46(5):446-51. doi: 10.1016/j.dld.2014.01.158.
(16) Working Group IAP/APA Acute Pancreatitis Guidelines. IAP/APA evidence-based guidelines for the management of acute pancreatitis. Pancreatology 2013; 13(4 Suppl 2):e1-15.
(17) Rassweiler JJ, Knoll T, Köhrmann KU, McAteer JA, Lingeman JE, Cleveland RO, et al. Shock wave technology and application: an update. Eur Urol 2011; 59(5):784-96. doi: 10.1016/j.eururo.2011.02.033.
(18) Karakayali F, Sevmis S, Ayvaz I, Tekin I, Boyvat G, Moray G. Acute necrotizing pancreatitis as a rare complication of extracorporeal shock wave lithotripsy. Int J Urol 2006; 13(5):613-5.
(19) Apostolov I, Minkov N, Koycheva M, Isterkov M, Abadjyev M, Ondeva V, Trendafilova T. Acute changes of serum markers for tissue damage after ESWL of kidney stones. Int Urol Nephrol 1991; 23(3):215-20.
(20) Thiel DD, Brisson TE, Heckman MG, Arnold M, Haley W, Khambhati J, et al. Evaluation of pancreatic damage after extracorporeal shock wave lithotripsy, percutaneous stone surgery, and ureteroscopy. Urology 2011; 77(6):1288-91. doi: 10.1016/j.urology.2010.08.066.
(21) Kirkali Z, Kirkali G, Tanci S, Tahiri Y. The effect of extracorporeal shock wave lithotripsy on pancreatic enzymes. Int Urol Nephrol 1994; 26(4):405-8.
(22) James TW, Crockett SD. Management of acute pancreatitis in the first 72 hours. Curr Opin Gastroenterol 2018; 34(5):330-5. doi: 10.1097/MOG.0000000000000456.
(23) Tenner S, Baillie J, DeWitt J, Vege SS. American College of Gastroenterology guideline: management of acute pancreatitis. Am J Gastroenterol 2013; 108(9):1400-16. doi: 10.1038/ajg.2013.218.
(24) Iqbal U, Anwar H, Scribani M. Ringer’s lactate versus normal saline in acute pancreatitis: a systematic review and meta-analysis. J Dig Dis 2018; 19(6):335-41. doi: 10.1111/1751-2980.12606.
(25) Al-Omran M, Albalawi ZH, Tashkandi MF, Al-Ansary LA. Enteral versus parenteral nutrition for acute pancreatitis. Cochrane Database Syst Rev 2010; (1):CD002837. doi: 10.1002/14651858.CD002837.pub2.
(26) Chang YS, Fu HQ, Xiao YM, Liu JC. Nasogastric or nasojejunal feeding in predicted severe acute pancreatitis: a meta-analysis. Crit Care 2013; 17(3):R118. doi: 10.1186/ cc12790.
(27) Nally DM, Kelly EG, Clarke M, Ridgway P. Nasogastric nutrition is efficacious in severe acute pancreatitis: a systematic review and meta-analysis. Br J Nutr 2014; 112(11):1769-78. doi: 10.1017/S0007114514002566.
(28) Song J, Zhong Y, Lu X, Kang X, Wang Y, Guo W, et al. Enteral nutrition provided within 48 hours after admission in severe acute pancreatitis: a systematic review and meta-analysis. Medicine (Baltimore) 2018; 97(34):e11871. doi: 10.1097/MD.0000000000011871.
(29) Poropat G, Giljaca V, Hauser G, Štimac D. Enteral nutrition formulations for acute pancreatitis. Cochrane Database Syst Rev 2015; (3):CD010605. doi: 10.1002/14651858. CD010605.pub2.
(30) Lim CL, Lee W, Liew YX, Tang SS, Chlebicki MP, Kwa AL. Role of antibiotic prophylaxis in necrotizing pancreatitis: a meta-analysis. J Gastrointest Surg 2015; 19(3):480-91. doi: 10.1007/s11605-014-2662-6.
Cómo citar
1.
Moreira E, Suárez A, Viettro M, Martínez N, Ferreira E, Baraibar J. Pancreatitis aguda como complicación infrecuente de litotricia extracorpórea por ondas de choque. . Rev. Méd. Urug. [Internet]. 1 [citado 7 de julio de 2020];36(1):99-105. Disponible en: https://revista.rmu.org.uy/ojsrmu311/index.php/rmu/article/view/508