Endoscopic treatment of chronic pancreatitis.

Abstract:

:Treatment of chronic pancreatitis has been exclusively surgical for a long time. Recently, endoscopic therapy has become widely used as a primary therapeutic option. Initially performed for drainage of pancreatic cysts and pseudocysts, endoscopic treatments were adapted to biliary and pancreatic ducts stenosis. Pancreatic sphincterotomy which allows access to pancreatic ducts was firstly reported. Secondly, endoscopic methods of stenting, dilatation, and stones extraction of the bile ducts were applied to pancreatic ducts. Nevertheless, new improvements were necessary: failures of pancreatic stone extraction justified the development of extra-corporeal shock wave lithotripsy; dilatation of pancreatic stenosis was improved by forage with a new device; moreover endosonography allowed guidance for celiac block, gastro-cystostomy, duodeno-cystostomy and pancreatico-gastrostomy. Although endoscopic treatments are more and more frequently accepted, indications are still debated.

journal_name

World J Gastroenterol

authors

Heyries L,Sahel J

doi

10.3748/wjg.v13.i46.6127

subject

Has Abstract

pub_date

2007-12-14 00:00:00

pages

6127-33

issue

46

eissn

1007-9327

issn

2219-2840

journal_volume

13

pub_type

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