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Extracorporeal Shock Wave Lithotripsy (ESWL) is a non-invasive treatment used to fragment large pancreatic duct stones into smaller pieces using focused shock waves. These fragments can then pass spontaneously or be removed endoscopically through ERCP. ESWL is particularly useful in patients with chronic pancreatitis and obstructing pancreatic duct stones that cause pain or ductal obstruction. Its major advantages include avoiding surgical intervention, effective fragmentation of large and hard stones, improved pancreatic duct drainage, and facilitating subsequent endoscopic stone extraction. ESWL can reduce the need for complex surgery, promote symptom relief, and improve quality of life in appropriately selected patients.
We use The Dornier Delta III Pro which is an advanced extracorporeal shock wave lithotripsy (ESWL) system designed to fragment stones using focused shock waves. Its key advantages include the proven EMSE 180 shock wave technology, OptiCouple® technology for improved energy transmission, and a flexible therapy head that facilitates accurate stone targeting across multiple positions. Advanced flat-panel imaging provides clear visualisation, while dual imaging allows stone localisation using X-ray, ultrasound, or both. Ultrasound-guided treatment can avoid radiation exposure during stone targeting. The system also features an ergonomic patient table and integrated controls for efficient workflow. These features make it a promising option for pancreatic stone fragmentation in appropriately selected patients.
Thank you doctor for being a call away for us throughout the admission and even otherwise. We always felt we are in safe and trusted hands while we were here and for whatever the future may hold for us. We as a family have developed blind trust towards you which is rare in today's date.. so genuinely thank you for everything you have done for Ankit and will be doing ..you are a God sent gift for us
Dr Sameer Gaggar is an incredible doctor and human being, right from his excellent treatment, expertise and ability to connect. My wife was admitted under him and was very nervous. But the way he communicated with us and the way of taking history was amazing. We felt relaxed and felt we were in good hands. He is just amazing. I have no words to describe how much he has done for my wife.
Thank you!
Dr Sameer Gaggar: No words can express our gratitude for your care & attention for my mom (Mrs Manju Anand) & her treatment. Further, Your communication both with patient, & attendant is praise worthy. Irrespective of holiday(s)/time of day, always reachable & helpful. Thank you for organizing even late night admission when in otherwise difficult circumstances and prevailing situation in city. Thank you for your detailed attention, care holistically. mom is better thanks to you. Throughout the week at HN reliance (17th-23rd Nov) I'd like additionally mention a thanks to all who along with Dr Sameer have helped us, & deserve praise, appreciation for their efforts less