Current status of endotherapy for chronic pancreatitis
Singapore medical journal
; : 613-620, 2014.
Article
em En
| WPRIM
| ID: wpr-244775
Biblioteca responsável:
WPRO
ABSTRACT
Chronic pancreatitis is associated with varied morphological complications, including intraductal stones, main pancreatic ductal strictures, distal biliary strictures and pseudocysts. Endoscopic therapy provides a less invasive alternative to surgery. In addition, extracorporeal shockwave lithotripsy improves the success rate of endoscopic clearance of intraductal stones. However, recent data from randomised trials have shown better long-term outcomes with surgical drainage for obstructive pancreatic ductal disease. In patients with distal biliary strictures, stent insertion leads to good immediate drainage, but after stent removal, recurrent narrowing is common. Endoscopic drainage of pancreatic pseudocysts has excellent outcome and should be accompanied by pancreatic ductal stenting when a ductal communication is evident. In those who remain symptomatic, endoscopic ultrasonography-guided coeliac plexus block may provide effective but short-term pain relief. In this review, we present the current evidence for the role of endotherapy in the management of patients with chronic pancreatitis.
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Pseudocisto Pancreático
/
Terapêutica
/
Litotripsia
/
Ensaios Clínicos Controlados Aleatórios como Assunto
/
Stents
/
Endoscopia do Sistema Digestório
/
Pancreatite Crônica
/
Manejo da Dor
/
Métodos
Tipo de estudo:
Clinical_trials
Limite:
Humans
Idioma:
En
Revista:
Singapore medical journal
Ano de publicação:
2014
Tipo de documento:
Article