Current status of endotherapy for chronic pancreatitis
Singapore medical journal
;
: 613-620, 2014.
Artículo
en Inglés
| WPRIM
| ID: wpr-244775
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:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Seudoquiste Pancreático
/
Terapéutica
/
Litotricia
/
Ensayos Clínicos Controlados Aleatorios como Asunto
/
Stents
/
Endoscopía del Sistema Digestivo
/
Pancreatitis Crónica
/
Manejo del Dolor
/
Métodos
Tipo de estudio:
Ensayo Clínico Controlado
Límite:
Humanos
Idioma:
Inglés
Revista:
Singapore medical journal
Año:
2014
Tipo del documento:
Artículo
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