Endoscopic Management of Benign Pancreatic Disease

Godil, Aslam; Chen, Yang K.

doi:10.1097/00006676-200001000-00001

Cited by 30 publications

(24 citation statements)

References 70 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Therefore, endoscopic therapy has become a valuable alternative to surgery for attempting to decompress the MPD [1,[3][4][5][6][7][8][9] . Endoscopic therapy is indicated to dilate strictures in the PD, place plastic stents into the PD and remove stones ( fi g. 1 , 2 ) [8,9,11,29] .…”

Section: Indications For Endoscopic Therapymentioning

confidence: 99%

“…Endoscopic therapy is indicated to dilate strictures in the PD, place plastic stents into the PD and remove stones ( fi g. 1 , 2 ) [8,9,11,29] . Pancreatic pseudocysts can also conclusively demonstrated, most experts agree that obstruction to the outfl ow of pancreatic juice and the resulting increased pressure within the main PD is one of the major factors contributing to pain [1][2][3][4][5][6][7][8][9][10] . Not less important in the etiology of chronic pain appears to be the chronic pancreatic infl ammation and peripancreatic fibrosis with resulting nerve entrapment around the gland [1-3, 11, 12] .…”

Section: Indications For Endoscopic Therapymentioning

confidence: 99%

“…Chronic pancreatitis (CP) results in a gradual loss of pancreatic function leading to malabsorption, weight loss and metabolic problems such as diabetes mellitus [1][2][3] . From the subjective clinical perspective abdominal pain is the dominant clinical problem in patients with CP [3][4][5][6][7] .…”

Section: Introductionmentioning

confidence: 99%

“…It can be due to pseudocysts, as well as strictures and stones in the pancreatic duct (PD) [6][7][8][9][10][11] . Although not ic techniques to approach CP and its complications [1,3,7,8,15,19,22] . There are very few prospective data comparing these methods among themselves [23] .…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Endoscopic Therapy of Chronic Pancreatitis

Mönkemüller¹,

Kahl²,

Malfertheiner³

2004

Dig Dis

View full text Add to dashboard Cite

We present an overview of endoscopic therapies for chronic pancreatitis (CP) and its associated conditions. It is evident that endoscopy can be a definite therapy for pancreatic pseudocysts, pancreatic ascites and pancreatic duct (PD) disruption. Endoscopic therapy has also been useful in the short-term and medium therapy of common bile duct strictures due to CP, the best results being obtained if there are no calcifications in the head of the pancreas. Although most experts agree that obstruction to the outflow of pancreatic juice and the resulting increased pressure within the main PD is one of the major factors contributing to pain and that endoscopic therapy has been proven effective to remove stones as well as to dilate PD strictures and place stents across the PD, there is no convincing evidence from randomized trials that the patient’s dominant symptom of CP, i.e. pain, is resolved in an appropriate and long-term fashion. We believe that there are other factors which are important in the etiology of chronic pain such as pancreatic inflammation and peripancreatic fibrosis with resulting nerve entrapment around the gland. The reader is reminded that endoscopic therapy is associated with significant and important complications, therefore appropriate patient selection and patient information are of paramount importance. Nevertheless, it is important to consider that one advantage of endoscopic management of CP is that it is less invasive as compared with surgery, often effective for years, does not hinder further surgery, and can be repeated. Finally we want to emphasize that there are many valid surgical, radiological and endoscopic techniques to treat the complications of CP. Therefore, the approach to CP and its complications should be by a multidisciplinary team of gastroenterologists, surgeons, radiologists, endoscopists and pain specialists.

show abstract

Section: Indications For Endoscopic Therapymentioning

confidence: 99%

Section: Indications For Endoscopic Therapymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Endoscopic Therapy of Chronic Pancreatitis

Mönkemüller¹,

Kahl²,

Malfertheiner³

2004

Dig Dis

View full text Add to dashboard Cite

show abstract

“…Diät, Alkoholkarenz, Enzymsubstitution und analgetische Therapie) oder chirurgische Eingriffe (in Form von Resektionen oder Drainageoperationen [6]) der Standard in der Therapie der chronischen Pankreatitis. Mit der Entwicklung und der erfolgreichen Etablierung endoskopisch-retrograder Techniken am biliären System sind seit den 80er Jahren des vergangenen Jahrhunderts auch endoskopische Interventionen am Pankreasgangsystem in den Mittelpunkt des Interesses gerückt [7][8][9][10]. Viele dieser Therapieansätze haben unter streng wissenschaftlich Aspekten geringe Evidenzgrade, weil nach wie vor prospektiv randomisierte Studien fehlen [3,11].…”

unclassified

Endoskopische Therapieansätze bei chronischer Pankreatitis

Jakobs¹,

Riemann²

2001

Visc Med

View full text Add to dashboard Cite

Endoscopic Therapy Modalities in Patients with Chronic Pancreatitis Several endoscopic interventional techniques have been introduced in the treatment of symptomatic chronic pancreatitis during the past years. Transpapillary and transmural drainage have been established as effective treatment options for pancreatic pseudocysts. Biliary endoprostheses are helpful to alleviate acute cholangitis and obstructive jaundice at once. During long-term biliary stenting several problems occur due to stent clogging. The treatment of pancreatic duct stones and pancreatic duct strictures is still a matter of debate. Several nonrandomized prospective and retrospective studies demonstrated, at least medium-term, a benefit of pancreatic duct stenting and extracorporeal shock wave lithotripsy.

show abstract

Leber, Gallenwege, Pankreas

Spengler¹,

Nattermann²

2013

Therapie–Handbuch Infektiologie

View full text Add to dashboard Cite

Endoscopic Management of Benign Pancreatic Disease

Cited by 30 publications

References 70 publications

Endoscopic Therapy of Chronic Pancreatitis

Endoscopic Therapy of Chronic Pancreatitis

Endoskopische Therapieansätze bei chronischer Pankreatitis

Leber, Gallenwege, Pankreas

Contact Info

Product

Resources

About