Abstract:
BACKGROUND AND STUDY AIMS:In pancreas divisum (PD), endoscopic drainage of the minor papilla is beneficial for patients presenting with acute recurrent pancreatitis, but in cases of chronic pancreatitis, surgery is claimed to be indicated. The aim of this study was to evaluate the efficacy of endoscopic stent placement in patients with PD presenting with chronic pancreatitis. PATIENTS AND METHODS:The outcome of endoscopic treatment was evaluated in 16 patients with PD presenting with chronic pancreatitis, who underwent stenting as a first line of treatment. Chart reviews and patient interviews by mail and telephone were conducted. Median follow-up time was 51 months (range 6-120). RESULTS:After one episode of stenting and subsequent stent extraction, five of 16 patients remained pain-free (i.e., for a median time of 45 months, range 12-64). Six patients had temporary pain relief (14 months), and five patients experienced no effect of stent therapy. A total of five patients underwent surgery after failure of stenting. CONCLUSIONS:Patients with chronic pancreatitis and a PD should undergo trial stenting, since every third patient remains symptom-free after one episode of stenting.
journal_name
Endoscopyjournal_title
Endoscopyauthors
Boerma D,Huibregtse K,Gulik TM,Rauws EA,Obertop H,Gouma DJdoi
10.1055/s-2000-650subject
Has Abstractpub_date
2000-06-01 00:00:00pages
452-6issue
6eissn
0013-726Xissn
1438-8812journal_volume
32pub_type
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