{"id":19539,"date":"2026-03-20T08:28:00","date_gmt":"2026-03-20T08:28:00","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/es\/?p=19539"},"modified":"2026-03-20T10:52:34","modified_gmt":"2026-03-20T10:52:34","slug":"pancreatoscopia-litotricia-electrohidraulica-para-el-tratamiento-de-calculos-pancreaticos","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/es\/casosclinicos\/pancreatoscopia-litotricia-electrohidraulica-para-el-tratamiento-de-calculos-pancreaticos\/","title":{"rendered":"Pancreatoscopia + Litotricia Electrohidr\u00e1ulica para el tratamiento de c\u00e1lculos pancre\u00e1ticos"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><br><strong>Presentaci\u00f3n de caso<\/strong><\/h2>\n\n\n\n<p>Un hombre de 67 a\u00f1os, alcoh\u00f3lico cr\u00f3nico, con pancreatitis cr\u00f3nica calcificante y m\u00faltiples exacerbaciones. Ex\u00e1menes previos revelaron un c\u00e1lculo \u00fanico en el conducto pancre\u00e1tico principal (CPP). El paciente se hab\u00eda sometido a dos CPRE (2023 y 2024), con esfinterotom\u00eda pancre\u00e1tica e intentos fallidos de extracci\u00f3n, lo que deriv\u00f3 en la colocaci\u00f3n de un stent pancre\u00e1tico para drenaje.<\/p>\n\n\n\n<p>En julio de 2025, desarroll\u00f3 pancreatitis aguda grave (Balthazar E), complicada por pseudoquistes drenados mediante radiolog\u00eda intervencionista. Una resonancia magn\u00e9tica realizada en septiembre de 2025 mostr\u00f3 la persistencia de un c\u00e1lculo \u00fanico en el conducto pancre\u00e1tico, de 9 mm de di\u00e1metro, ubicado en el cuerpo del p\u00e1ncreas, asociado a una leve estenosis distal.<\/p>\n\n\n\n<p>Ante el fracaso de las terapias endosc\u00f3picas convencionales, se opt\u00f3 por la pancreatoscopia con el fin de intentar su extracci\u00f3n y, posteriormente, realizar una litotricia intraductal.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><br><strong>Procedimiento<\/strong><\/h2>\n\n\n\n<p>Se realiz\u00f3 una pancreatoscopia con el sistema <strong>SpyGlass\u2122<\/strong> (SpyScope DS II), que revel\u00f3 un c\u00e1lculo blanquecino impactado en el CPP. No fue posible extraerlo con una cesta pancre\u00e1tica (SpyBasket) debido a un estrechamiento del conducto proximal al c\u00e1lculo, lo que impidi\u00f3 su movilizaci\u00f3n.<\/p>\n\n\n\n<p>Por lo tanto, se realiz\u00f3 una dilataci\u00f3n de la estenosis y una <strong>litotricia electrohidr\u00e1ulica (LEH)<\/strong> con el sistema <strong>AutoLith\u2122<\/strong>, colocando la sonda a aproximadamente 1-2 mm de la superficie del c\u00e1lculo. La aplicaci\u00f3n de pulsos fragment\u00f3 progresivamente el c\u00e1lculo, permitiendo su posterior extracci\u00f3n con una cesta. Se dej\u00f3 un stent pancre\u00e1tico para mantener el drenaje del conducto.<\/p>\n\n\n\n<div style=\"position:relative;padding-top:56.25%;\"><iframe id=\"panda-ebea24b0-2692-48e5-8ccc-16691a4a682d\" src=\"https:\/\/player-vz-a75e9d45-986.tv.pandavideo.com.br\/embed\/?v=ebea24b0-2692-48e5-8ccc-16691a4a682d\" style=\"border:none;position:absolute;top:0;left:0;\" allow=\"accelerometer;gyroscope;autoplay;encrypted-media;picture-in-picture\" allowfullscreen=true width=\"100%\" height=\"100%\" fetchpriority=\"high\"><\/iframe><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><br><strong>Discusi\u00f3n<\/strong><\/h2>\n\n\n\n<p><br>Los c\u00e1lculos pancre\u00e1ticos son frecuentes en la pancreatitis alcoh\u00f3lica cr\u00f3nica y se producen por la precipitaci\u00f3n de prote\u00ednas y sales de calcio en el CPP. Estas obstrucciones aumentan la presi\u00f3n intraductal y contribuyen al dolor refractario. Los c\u00e1lculos grandes, densos e impactados \u2014 como en el presente caso \u2014 suelen requerir litotricia para su fragmentaci\u00f3n.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><br><strong>Enfoque terap\u00e9utico actual:<\/strong><\/h2>\n\n\n\n<p><strong>CPRE<\/strong> con esfinterotom\u00eda y extracci\u00f3n es eficaz para c\u00e1lculos peque\u00f1os y m\u00f3viles, generalmente en conductos dilatados.<\/p>\n\n\n\n<p>\u2022 <strong>Litotricia extracorp\u00f3rea por ondas de choque (LEOC)<\/strong> se recomienda para c\u00e1lculos \u2265 5 mm localizados en la cabeza\/cuerpo del conducto, especialmente cuando son radiopacos.<\/p>\n\n\n\n<p>\u2022 <strong>Litotricia intraductal guiada por pancreatoscopia (l\u00e1ser o LEH)<\/strong> est\u00e1 indicada cuando la LEOC no est\u00e1 disponible, falla o cuando los c\u00e1lculos son \u00fanicos, impactados o se encuentran en una posici\u00f3n intraductal profunda.<\/p>\n\n\n\n<p>Aunque la LEOC es altamente efectiva y est\u00e1 recomendada en las gu\u00edas cl\u00ednicas, en nuestro entorno tenemos dificultades para encontrar centros especializados que ofrezcan este tratamiento. Como alternativa a la LEOC, se puede emplear la litotricia endosc\u00f3pica intraductal, utilizando fibra l\u00e1ser o LHE guiada por pancreatoscopia.<\/p>\n\n\n\n<p>La LHE, realizada bajo visi\u00f3n directa, genera ondas de choque mediante pulsos el\u00e9ctricos que provocan la cavitaci\u00f3n y fragmentaci\u00f3n del c\u00e1lculo. La pancreatoscopia mejora la precisi\u00f3n, reduce el riesgo de lesi\u00f3n del conducto y aumenta la tasa de extracci\u00f3n completa.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><br><strong>Tratamiento quir\u00fargico<\/strong><\/h2>\n\n\n\n<p>Sigue siendo un tratamiento de segunda l\u00ednea, reservado para casos refractarios a la terapia endosc\u00f3pica o cuando existen alteraciones anat\u00f3micas que impiden el acceso al conducto.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><br><strong>Referencias<\/strong><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Update on endoscopic treatment of stones in the main pancreatic duct in calcified chronic pancreatitis. Choi EK, Lehman GA. Kor J Intern Med. 2012;27:20\u201329. doi: 10.3904\/kjim.2012.27.1.20.<\/li>\n\n\n\n<li>Endoscopic treatment of chronic pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) Guideline \u2013 Updated August 2018.<\/li>\n\n\n\n<li>Endoscopic lithotripsy in the common bile duct. Koch H, Stolte M, Walz V. Endoscopy. 1977;9:95\u201398. doi: 10.1055\/s-0028-1098497.<\/li>\n\n\n\n<li>Mechanical lithotripsy of stones in the pancreatic duct. Freeman ML. Gastrointest Endosc. 1996;44:333\u2013336. doi: 10.1016\/s0016-5107(96)70175-x.<\/li>\n\n\n\n<li>Management of pancreatic calculi in chronic pancreatitis: A review article. Cureus. Kaushik N, Dasari V, Jain D. Mar 5, 2023;15(3):e35788. doi: 10.7759\/cureus.35788. PMID: 37025704; PMCID: PMC10072785.<\/li>\n\n\n\n<li>Chronic pancreatitis. Steer ML, Waxman I, Freedman S. N Engl J Med. 1995;332:1482\u20131490. doi: 10.1056\/NEJM199506013322206.<\/li>\n\n\n\n<li>Ultrastructure and elemental composition of human pancreatic stones. Pitchumoni CS, Viswanathan KV, Gee Varghese PJ, Banks PA. Pancreas. 1987;2:152\u2013158. doi: 10.1097\/00006676-198703000-00005.<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>C\u00f3mo citar este art\u00edculo<\/strong><\/h2>\n\n\n\n<p class=\"has-very-light-gray-to-cyan-bluish-gray-gradient-background has-background\">Oissa GM, Chojniak LM, Furuya J\u00fanior CK CF, Martins BC, Penaloza CSQ. Pancreatoscopia + Litotricia Electrohidr\u00e1ulica para el tratamiento de c\u00e1lculos pancre\u00e1ticos Endoscopia Terap\u00e9utica 2026, Vol I. Disponible en: <a href=\"https:\/\/endoscopiaterapeutica.net\/es\/?p=19539\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/endoscopiaterapeutica.net\/es\/casosclinicos\/pancreatoscopia-litotricia-electrohidraulica-para-el-tratamiento-de-calculos-pancreaticos\/<\/a><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Presentaci\u00f3n de caso Un hombre de 67 a\u00f1os, alcoh\u00f3lico cr\u00f3nico, con pancreatitis cr\u00f3nica calcificante&hellip;<\/p>\n","protected":false},"author":6158,"featured_media":19538,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[150],"tags":[],"ano":[751],"tipo":[155],"volume":[263],"class_list":["post-19539","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-casosclinicos","ano-751","tipo-cpre","volume-volumen-i"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Pancreatoscopia + Litotricia Electrohidr\u00e1ulica para el tratamiento de c\u00e1lculos pancre\u00e1ticos &#8226; Endoscopia Terapeutica<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/endoscopiaterapeutica.net\/es\/casosclinicos\/pancreatoscopia-litotricia-electrohidraulica-para-el-tratamiento-de-calculos-pancreaticos\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pancreatoscopia + Litotricia Electrohidr\u00e1ulica para el tratamiento de c\u00e1lculos pancre\u00e1ticos\" \/>\n<meta property=\"og:description\" content=\"Presentaci\u00f3n de caso Un hombre de 67 a\u00f1os, alcoh\u00f3lico cr\u00f3nico, con pancreatitis cr\u00f3nica calcificante y m\u00faltiples exacerbaciones. Ex\u00e1menes previos\" \/>\n<meta property=\"og:url\" content=\"https:\/\/endoscopiaterapeutica.net\/es\/casosclinicos\/pancreatoscopia-litotricia-electrohidraulica-para-el-tratamiento-de-calculos-pancreaticos\/\" \/>\n<meta property=\"og:site_name\" content=\"Endoscopia Terapeutica\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/endoscopiaterapeuticaes\" \/>\n<meta property=\"article:published_time\" content=\"2026-03-20T08:28:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-03-20T10:52:34+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2026\/03\/CAPA-.jpeg?v=1773730996\" \/>\n\t<meta property=\"og:image:width\" content=\"720\" \/>\n\t<meta property=\"og:image:height\" content=\"381\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Gabrieli Melissa Oissa,&nbsp;Let\u00edcia Motono Chojniak,&nbsp;Carlos Kiyoshi Furuya Junior,&nbsp;Bruno Martins&nbsp;e&nbsp;Cesar Saul Quevedo Penaloza\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Gabrieli Melissa Oissa,&nbsp;Let\u00edcia Motono Chojniak,&nbsp;Carlos Kiyoshi Furuya Junior,&nbsp;Bruno Martins&nbsp;e&nbsp;Cesar Saul Quevedo Penaloza\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/es\/casosclinicos\/pancreatoscopia-litotricia-electrohidraulica-para-el-tratamiento-de-calculos-pancreaticos\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/es\/casosclinicos\/pancreatoscopia-litotricia-electrohidraulica-para-el-tratamiento-de-calculos-pancreaticos\/\"},\"author\":{\"name\":\"Gabrieli Melissa Oissa,&nbsp;Let\u00edcia Motono Chojniak,&nbsp;Carlos Kiyoshi Furuya Junior,&nbsp;Bruno Martins&nbsp;e&nbsp;Cesar Saul Quevedo Penaloza\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/es\/#\/schema\/person\/c665f5a061efba04e6c2a30707f7df88\"},\"headline\":\"Pancreatoscopia + Litotricia Electrohidr\u00e1ulica para el tratamiento de c\u00e1lculos pancre\u00e1ticos\",\"datePublished\":\"2026-03-20T08:28:00+00:00\",\"dateModified\":\"2026-03-20T10:52:34+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/es\/casosclinicos\/pancreatoscopia-litotricia-electrohidraulica-para-el-tratamiento-de-calculos-pancreaticos\/\"},\"wordCount\":735,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/es\/#organization\"},\"image\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/es\/casosclinicos\/pancreatoscopia-litotricia-electrohidraulica-para-el-tratamiento-de-calculos-pancreaticos\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2026\/03\/CAPA-.jpeg?v=1773730996\",\"articleSection\":[\"Casos Cl\u00ednicos\"],\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/endoscopiaterapeutica.net\/es\/casosclinicos\/pancreatoscopia-litotricia-electrohidraulica-para-el-tratamiento-de-calculos-pancreaticos\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/es\/casosclinicos\/pancreatoscopia-litotricia-electrohidraulica-para-el-tratamiento-de-calculos-pancreaticos\/\",\"url\":\"https:\/\/endoscopiaterapeutica.net\/es\/casosclinicos\/pancreatoscopia-litotricia-electrohidraulica-para-el-tratamiento-de-calculos-pancreaticos\/\",\"name\":\"Pancreatoscopia + Litotricia Electrohidr\u00e1ulica para el tratamiento de c\u00e1lculos pancre\u00e1ticos &#8226; Endoscopia Terapeutica\",\"isPartOf\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/es\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/es\/casosclinicos\/pancreatoscopia-litotricia-electrohidraulica-para-el-tratamiento-de-calculos-pancreaticos\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/es\/casosclinicos\/pancreatoscopia-litotricia-electrohidraulica-para-el-tratamiento-de-calculos-pancreaticos\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2026\/03\/CAPA-.jpeg?v=1773730996\",\"datePublished\":\"2026-03-20T08:28:00+00:00\",\"dateModified\":\"2026-03-20T10:52:34+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/es\/casosclinicos\/pancreatoscopia-litotricia-electrohidraulica-para-el-tratamiento-de-calculos-pancreaticos\/#breadcrumb\"},\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/endoscopiaterapeutica.net\/es\/casosclinicos\/pancreatoscopia-litotricia-electrohidraulica-para-el-tratamiento-de-calculos-pancreaticos\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/es\/casosclinicos\/pancreatoscopia-litotricia-electrohidraulica-para-el-tratamiento-de-calculos-pancreaticos\/#primaryimage\",\"url\":\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2026\/03\/CAPA-.jpeg?v=1773730996\",\"contentUrl\":\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2026\/03\/CAPA-.jpeg?v=1773730996\",\"width\":720,\"height\":381},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/es\/casosclinicos\/pancreatoscopia-litotricia-electrohidraulica-para-el-tratamiento-de-calculos-pancreaticos\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/endoscopiaterapeutica.net\/es\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Pancreatoscopia + Litotricia Electrohidr\u00e1ulica para el tratamiento de c\u00e1lculos pancre\u00e1ticos\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/es\/#website\",\"url\":\"https:\/\/endoscopiaterapeutica.net\/es\/\",\"name\":\"Endoscopia Terapeutica\",\"description\":\"Uniendo conocimiento acad\u00e9mico con habilidad cl\u00ednica, Endoscopia Terap\u00eautica es tu gu\u00eda para el progreso en endoscopia digestiva. Educa y enriquece tu pr\u00e1ctica con nosotros.\",\"publisher\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/es\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/endoscopiaterapeutica.net\/es\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"es\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/es\/#organization\",\"name\":\"Endoscopia Terapeutica\",\"url\":\"https:\/\/endoscopiaterapeutica.net\/es\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/es\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2023\/09\/endter.jpg\",\"contentUrl\":\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2023\/09\/endter.jpg\",\"width\":720,\"height\":721,\"caption\":\"Endoscopia Terapeutica\"},\"image\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/es\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/endoscopiaterapeuticaes\",\"https:\/\/www.instagram.com\/endoscopia_terapeutica\/\",\"https:\/\/www.youtube.com\/@endoscopyonline\"]},[{\"@type\":[\"Person\"],\"@id\":\"https:\/\/endoscopiaterapeutica.net\/es\/#\/schema\/person\/c665f5a061efba04e6c2a30707f7df88\",\"name\":\"Gabrieli Melissa Oissa\",\"image\":{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2026\/03\/cropped-Gabrieli-Melissa-Oissa.jpeg\",\"inLanguage\":\"es_ES\",\"url\":\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2026\/03\/cropped-Gabrieli-Melissa-Oissa.jpeg\",\"caption\":\"Gabrieli Melissa Oissa\"}},{\"@type\":[\"Person\"],\"@id\":\"https:\/\/endoscopiaterapeutica.net\/es\/#\/schema\/person\/c665f5a061efba04e6c2a30707f7df88\",\"name\":\"Let\u00edcia Motono Chojniak\",\"image\":{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2026\/03\/cropped-Gabrieli-Melissa-Oissa.jpeg\",\"inLanguage\":\"es_ES\",\"url\":\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2026\/03\/cropped-DRA.-LETICIA.jpeg\",\"caption\":\"Let\u00edcia Motono Chojniak\"}},{\"@type\":[\"Person\"],\"@id\":\"https:\/\/endoscopiaterapeutica.net\/es\/#\/schema\/person\/c665f5a061efba04e6c2a30707f7df88\",\"name\":\"Carlos Kiyoshi Furuya Junior\",\"image\":{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2026\/03\/cropped-Gabrieli-Melissa-Oissa.jpeg\",\"inLanguage\":\"es_ES\",\"url\":\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2026\/03\/cropped-CARLOS-FURUYA.jpeg\",\"caption\":\"Carlos Kiyoshi Furuya Junior\"}},{\"@type\":[\"Person\"],\"@id\":\"https:\/\/endoscopiaterapeutica.net\/es\/#\/schema\/person\/c665f5a061efba04e6c2a30707f7df88\",\"name\":\"Bruno Martins\",\"image\":{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2026\/03\/cropped-Gabrieli-Melissa-Oissa.jpeg\",\"inLanguage\":\"es_ES\",\"url\":\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2021\/07\/bruno-martins.png\",\"caption\":\"Bruno Martins\"}},{\"@type\":[\"Person\"],\"@id\":\"https:\/\/endoscopiaterapeutica.net\/es\/#\/schema\/person\/c665f5a061efba04e6c2a30707f7df88\",\"name\":\"Cesar Saul Quevedo Penaloza\",\"image\":{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2026\/03\/cropped-Gabrieli-Melissa-Oissa.jpeg\",\"inLanguage\":\"es_ES\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/02536512895ed614d900e1a771cfd3250f989865166a8271402e57907574c10f?s=96&d=mm&r=g\",\"caption\":\"Cesar Saul Quevedo Penaloza\"}}]]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Pancreatoscopia + Litotricia Electrohidr\u00e1ulica para el tratamiento de c\u00e1lculos pancre\u00e1ticos &#8226; Endoscopia Terapeutica","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/endoscopiaterapeutica.net\/es\/casosclinicos\/pancreatoscopia-litotricia-electrohidraulica-para-el-tratamiento-de-calculos-pancreaticos\/","og_locale":"es_ES","og_type":"article","og_title":"Pancreatoscopia + Litotricia Electrohidr\u00e1ulica para el tratamiento de c\u00e1lculos pancre\u00e1ticos","og_description":"Presentaci\u00f3n de caso Un hombre de 67 a\u00f1os, alcoh\u00f3lico cr\u00f3nico, con pancreatitis cr\u00f3nica calcificante y m\u00faltiples exacerbaciones. Ex\u00e1menes previos","og_url":"https:\/\/endoscopiaterapeutica.net\/es\/casosclinicos\/pancreatoscopia-litotricia-electrohidraulica-para-el-tratamiento-de-calculos-pancreaticos\/","og_site_name":"Endoscopia Terapeutica","article_publisher":"https:\/\/www.facebook.com\/endoscopiaterapeuticaes","article_published_time":"2026-03-20T08:28:00+00:00","article_modified_time":"2026-03-20T10:52:34+00:00","og_image":[{"width":720,"height":381,"url":"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2026\/03\/CAPA-.jpeg?v=1773730996","type":"image\/jpeg"}],"author":"Gabrieli Melissa Oissa,&nbsp;Let\u00edcia Motono Chojniak,&nbsp;Carlos Kiyoshi Furuya Junior,&nbsp;Bruno Martins&nbsp;e&nbsp;Cesar Saul Quevedo Penaloza","twitter_card":"summary_large_image","twitter_misc":{"Escrito por":"Gabrieli Melissa Oissa,&nbsp;Let\u00edcia Motono Chojniak,&nbsp;Carlos Kiyoshi Furuya Junior,&nbsp;Bruno Martins&nbsp;e&nbsp;Cesar Saul Quevedo Penaloza","Tiempo de lectura":"4 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/endoscopiaterapeutica.net\/es\/casosclinicos\/pancreatoscopia-litotricia-electrohidraulica-para-el-tratamiento-de-calculos-pancreaticos\/#article","isPartOf":{"@id":"https:\/\/endoscopiaterapeutica.net\/es\/casosclinicos\/pancreatoscopia-litotricia-electrohidraulica-para-el-tratamiento-de-calculos-pancreaticos\/"},"author":{"name":"Gabrieli Melissa Oissa,&nbsp;Let\u00edcia Motono Chojniak,&nbsp;Carlos Kiyoshi Furuya Junior,&nbsp;Bruno Martins&nbsp;e&nbsp;Cesar Saul Quevedo Penaloza","@id":"https:\/\/endoscopiaterapeutica.net\/es\/#\/schema\/person\/c665f5a061efba04e6c2a30707f7df88"},"headline":"Pancreatoscopia + Litotricia Electrohidr\u00e1ulica para el tratamiento de c\u00e1lculos pancre\u00e1ticos","datePublished":"2026-03-20T08:28:00+00:00","dateModified":"2026-03-20T10:52:34+00:00","mainEntityOfPage":{"@id":"https:\/\/endoscopiaterapeutica.net\/es\/casosclinicos\/pancreatoscopia-litotricia-electrohidraulica-para-el-tratamiento-de-calculos-pancreaticos\/"},"wordCount":735,"commentCount":0,"publisher":{"@id":"https:\/\/endoscopiaterapeutica.net\/es\/#organization"},"image":{"@id":"https:\/\/endoscopiaterapeutica.net\/es\/casosclinicos\/pancreatoscopia-litotricia-electrohidraulica-para-el-tratamiento-de-calculos-pancreaticos\/#primaryimage"},"thumbnailUrl":"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2026\/03\/CAPA-.jpeg?v=1773730996","articleSection":["Casos Cl\u00ednicos"],"inLanguage":"es","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/endoscopiaterapeutica.net\/es\/casosclinicos\/pancreatoscopia-litotricia-electrohidraulica-para-el-tratamiento-de-calculos-pancreaticos\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/endoscopiaterapeutica.net\/es\/casosclinicos\/pancreatoscopia-litotricia-electrohidraulica-para-el-tratamiento-de-calculos-pancreaticos\/","url":"https:\/\/endoscopiaterapeutica.net\/es\/casosclinicos\/pancreatoscopia-litotricia-electrohidraulica-para-el-tratamiento-de-calculos-pancreaticos\/","name":"Pancreatoscopia + Litotricia Electrohidr\u00e1ulica para el tratamiento de c\u00e1lculos pancre\u00e1ticos &#8226; Endoscopia Terapeutica","isPartOf":{"@id":"https:\/\/endoscopiaterapeutica.net\/es\/#website"},"primaryImageOfPage":{"@id":"https:\/\/endoscopiaterapeutica.net\/es\/casosclinicos\/pancreatoscopia-litotricia-electrohidraulica-para-el-tratamiento-de-calculos-pancreaticos\/#primaryimage"},"image":{"@id":"https:\/\/endoscopiaterapeutica.net\/es\/casosclinicos\/pancreatoscopia-litotricia-electrohidraulica-para-el-tratamiento-de-calculos-pancreaticos\/#primaryimage"},"thumbnailUrl":"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2026\/03\/CAPA-.jpeg?v=1773730996","datePublished":"2026-03-20T08:28:00+00:00","dateModified":"2026-03-20T10:52:34+00:00","breadcrumb":{"@id":"https:\/\/endoscopiaterapeutica.net\/es\/casosclinicos\/pancreatoscopia-litotricia-electrohidraulica-para-el-tratamiento-de-calculos-pancreaticos\/#breadcrumb"},"inLanguage":"es","potentialAction":[{"@type":"ReadAction","target":["https:\/\/endoscopiaterapeutica.net\/es\/casosclinicos\/pancreatoscopia-litotricia-electrohidraulica-para-el-tratamiento-de-calculos-pancreaticos\/"]}]},{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/endoscopiaterapeutica.net\/es\/casosclinicos\/pancreatoscopia-litotricia-electrohidraulica-para-el-tratamiento-de-calculos-pancreaticos\/#primaryimage","url":"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2026\/03\/CAPA-.jpeg?v=1773730996","contentUrl":"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2026\/03\/CAPA-.jpeg?v=1773730996","width":720,"height":381},{"@type":"BreadcrumbList","@id":"https:\/\/endoscopiaterapeutica.net\/es\/casosclinicos\/pancreatoscopia-litotricia-electrohidraulica-para-el-tratamiento-de-calculos-pancreaticos\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/endoscopiaterapeutica.net\/es\/"},{"@type":"ListItem","position":2,"name":"Pancreatoscopia + Litotricia Electrohidr\u00e1ulica para el tratamiento de c\u00e1lculos pancre\u00e1ticos"}]},{"@type":"WebSite","@id":"https:\/\/endoscopiaterapeutica.net\/es\/#website","url":"https:\/\/endoscopiaterapeutica.net\/es\/","name":"Endoscopia Terapeutica","description":"Uniendo conocimiento acad\u00e9mico con habilidad cl\u00ednica, Endoscopia Terap\u00eautica es tu gu\u00eda para el progreso en endoscopia digestiva. Educa y enriquece tu pr\u00e1ctica con nosotros.","publisher":{"@id":"https:\/\/endoscopiaterapeutica.net\/es\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/endoscopiaterapeutica.net\/es\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"es"},{"@type":"Organization","@id":"https:\/\/endoscopiaterapeutica.net\/es\/#organization","name":"Endoscopia Terapeutica","url":"https:\/\/endoscopiaterapeutica.net\/es\/","logo":{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/endoscopiaterapeutica.net\/es\/#\/schema\/logo\/image\/","url":"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2023\/09\/endter.jpg","contentUrl":"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2023\/09\/endter.jpg","width":720,"height":721,"caption":"Endoscopia Terapeutica"},"image":{"@id":"https:\/\/endoscopiaterapeutica.net\/es\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/endoscopiaterapeuticaes","https:\/\/www.instagram.com\/endoscopia_terapeutica\/","https:\/\/www.youtube.com\/@endoscopyonline"]},[{"@type":["Person"],"@id":"https:\/\/endoscopiaterapeutica.net\/es\/#\/schema\/person\/c665f5a061efba04e6c2a30707f7df88","name":"Gabrieli Melissa Oissa","image":{"@type":"ImageObject","@id":"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2026\/03\/cropped-Gabrieli-Melissa-Oissa.jpeg","inLanguage":"es_ES","url":"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2026\/03\/cropped-Gabrieli-Melissa-Oissa.jpeg","caption":"Gabrieli Melissa Oissa"}},{"@type":["Person"],"@id":"https:\/\/endoscopiaterapeutica.net\/es\/#\/schema\/person\/c665f5a061efba04e6c2a30707f7df88","name":"Let\u00edcia Motono Chojniak","image":{"@type":"ImageObject","@id":"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2026\/03\/cropped-Gabrieli-Melissa-Oissa.jpeg","inLanguage":"es_ES","url":"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2026\/03\/cropped-DRA.-LETICIA.jpeg","caption":"Let\u00edcia Motono Chojniak"}},{"@type":["Person"],"@id":"https:\/\/endoscopiaterapeutica.net\/es\/#\/schema\/person\/c665f5a061efba04e6c2a30707f7df88","name":"Carlos Kiyoshi Furuya Junior","image":{"@type":"ImageObject","@id":"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2026\/03\/cropped-Gabrieli-Melissa-Oissa.jpeg","inLanguage":"es_ES","url":"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2026\/03\/cropped-CARLOS-FURUYA.jpeg","caption":"Carlos Kiyoshi Furuya Junior"}},{"@type":["Person"],"@id":"https:\/\/endoscopiaterapeutica.net\/es\/#\/schema\/person\/c665f5a061efba04e6c2a30707f7df88","name":"Bruno Martins","image":{"@type":"ImageObject","@id":"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2026\/03\/cropped-Gabrieli-Melissa-Oissa.jpeg","inLanguage":"es_ES","url":"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2021\/07\/bruno-martins.png","caption":"Bruno Martins"}},{"@type":["Person"],"@id":"https:\/\/endoscopiaterapeutica.net\/es\/#\/schema\/person\/c665f5a061efba04e6c2a30707f7df88","name":"Cesar Saul Quevedo Penaloza","image":{"@type":"ImageObject","@id":"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2026\/03\/cropped-Gabrieli-Melissa-Oissa.jpeg","inLanguage":"es_ES","url":"https:\/\/secure.gravatar.com\/avatar\/02536512895ed614d900e1a771cfd3250f989865166a8271402e57907574c10f?s=96&d=mm&r=g","caption":"Cesar Saul Quevedo Penaloza"}}]]}},"_links":{"self":[{"href":"https:\/\/endoscopiaterapeutica.net\/es\/wp-json\/wp\/v2\/posts\/19539","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/endoscopiaterapeutica.net\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/endoscopiaterapeutica.net\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/es\/wp-json\/wp\/v2\/users\/6158"}],"replies":[{"embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/es\/wp-json\/wp\/v2\/comments?post=19539"}],"version-history":[{"count":5,"href":"https:\/\/endoscopiaterapeutica.net\/es\/wp-json\/wp\/v2\/posts\/19539\/revisions"}],"predecessor-version":[{"id":19553,"href":"https:\/\/endoscopiaterapeutica.net\/es\/wp-json\/wp\/v2\/posts\/19539\/revisions\/19553"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/es\/wp-json\/wp\/v2\/media\/19538"}],"wp:attachment":[{"href":"https:\/\/endoscopiaterapeutica.net\/es\/wp-json\/wp\/v2\/media?parent=19539"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/es\/wp-json\/wp\/v2\/categories?post=19539"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/es\/wp-json\/wp\/v2\/tags?post=19539"},{"taxonomy":"ano","embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/es\/wp-json\/wp\/v2\/ano?post=19539"},{"taxonomy":"tipo","embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/es\/wp-json\/wp\/v2\/tipo?post=19539"},{"taxonomy":"volume","embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/es\/wp-json\/wp\/v2\/volume?post=19539"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}