Endoscopic Treatment of Pancreatic Calculi
Clinical Endoscopy
; : 227-235, 2014.
Article
em En
| WPRIM
| ID: wpr-193058
Biblioteca responsável:
WPRO
ABSTRACT
Chronic pancreatitis is a progressive inflammatory disease that destroys pancreatic parenchyma and alters ductal stricture, leading to ductal destruction and abdominal pain. Pancreatic duct stones (PDSs) are a common complication of chronic pancreatitis that requires treatment to relieve abdominal pain and improve pancreas function. Endoscopic therapy, extracorporeal shock wave lithotripsy (ESWL), and surgery are treatment modalities of PDSs, although lingering controversies have hindered a consensus recommendation. Many comparative studies have reported that surgery is the superior treatment because of reduced duration and frequency of hospitalization, cost, pain relief, and reintervention, while endoscopic therapy is effective and less invasive but cannot be used in all patients. Surgery is the treatment of choice when endoscopic therapy has failed, malignancy is suspected, or duodenal stricture is present. However, in patients with the appropriate indications or at high-risk for surgery, endoscopic therapy in combination with ESWL can be considered a first-line treatment. We expect that the development of advanced endoscopic techniques and equipment will expand the role of endoscopic treatment in PDS removal.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Pâncreas
/
Ductos Pancreáticos
/
Choque
/
Litotripsia
/
Cálculos
/
Dor Abdominal
/
Constrição Patológica
/
Consenso
/
Endoscopia
/
Pancreatite Crônica
Tipo de estudo:
Guideline
Limite:
Humans
Idioma:
En
Revista:
Clinical Endoscopy
Ano de publicação:
2014
Tipo de documento:
Article