Endoscopic stenting for common bile duct stenoses in chronic pancreatitis: results and impact on long-term outcome

Eickhoff, Axel; Jakobs, Ralf; Leonhardt, A; Eickhoff, Jens; Riemann, Jürgen F.

doi:10.1097/00042737-200110000-00007

Cited by 65 publications

(30 citation statements)

References 16 publications

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“…Stent malfunctioning with clogging and septic complications are common. Morphological resolution of stenosis in long-term follow-up studies is obtained in no more than 10% of patients [205][206][207]. More aggressive endoscopic therapy, by placement of multiple plastic stents, can obtain stricture resolution in 44−90% of cases with a 13-48 months follow-up period after stent removal [208][209][210].…”

Section: E3: Is Endoscopic Therapy Indicated In Chronic Pancreatitismentioning

confidence: 99%

Italian consensus guidelines for chronic pancreatitis

Frulloni

Falconi

Gabbrielli

et al. 2010

Digestive and Liver Disease

166

112

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This paper gives practical guidelines for diagnosis and treatment of chronic pancreatitis. Statements have been elaborated by working teams of experts, by searching for and analysing the literature, and submitted to a consensus process by using a Delphi modified procedure. The statements report recommendations on clinical and nutritional approach, assessment of pancreatic function, treatment of exocrine pancreatic failure and of secondary diabetes, treatment of pain and prevention of painful relapses. Moreover, the role of endoscopy in approaching pancreatic pain, pancreatic stones, duct narrowing and dilation, and complications was considered. Recommendations for most appropriate use of various imaging techniques and of ultrasound endoscopy are reported. Finally, a group of recommendations are addressed to the surgical treatment, with definition of right indications, timing, most appropriate procedures and techniques in different clinical conditions and targets, and clinical and functional outcomes following surgery. © 2010 Editrice Gastroenterologica Italiana S.r.l

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Section: E3: Is Endoscopic Therapy Indicated In Chronic Pancreatitismentioning

confidence: 99%

Italian consensus guidelines for chronic pancreatitis

Frulloni

Falconi

Gabbrielli

et al. 2010

Digestive and Liver Disease

166

112

View full text Add to dashboard Cite

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“…In patients with portal vein thrombosis, portal hypertension and ascites can arise. Other common secondary changes include the development of pseudocysts and calcifications [2, 21, 22]. Complications of CP are illustrated in Figure 1.…”

Section: Definition Epidemiology Causes and Manifestationmentioning

confidence: 99%

“…Jaundice in CP arises due to compression of the intrapancreatic portion of the common bile duct by an inflammatory mass in the pancreatic head [2, 21, 22]. In this case, drainage of the obstructed biliary tract is indicated to avoid secondary problems like cholangitis, liver damage, or secondary biliary cirrhosis [86].…”

Section: Endoscopic Therapymentioning

confidence: 99%

Endoscopic and Conservative Management of Chronic Pancreatitis and Its Complications

et al. 2019

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“…While, success is dependant on the number of sessions and the number of stents placed, it appears that this maybe a reasonable first-line option [42] . Several groups have studied biliary strictures and endoscopic approach to treatment, and in all cases average stricture resolution was reported between 10%-33% (Table 3) [57,[77][78][79][80][81][82][83] . ESWL alone was a safe and effective modality of treatment in reducing pain in CP with stone only disease and addition of endoscopic measures added costs to patient care, with no significant reduction in pain relief [54] .…”

Section: Stricturesmentioning

confidence: 99%

Endoscopic management of chronic pancreatitis

Oza

Kahaleh²

2013

WJGE

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Chronic pancreatitis (CP) is a common gastrointestinal illness, which affects the quality of life with substantial morbidity and mortality. The management includes medical, endoscopic and surgical approaches with the need for interaction between various specialties, calling for a concerted multidisciplinary approach. However, at the time of this publication, guidelines to establish care of these patients are lacking. This review provides the reader with a comprehensive overview of the studies summarizing the various treatment options available, including medical, surgical and endoscopic options. In addition, technological advances such as endoscopic retrograde cholangiopancreatogrophy, endoscopic shock wave lithotripsy and endoscopic ultrasound can now be offered with reasonable success for pancreatic decompression, stricture dilatation with stent placement, stone fragmentation, pseudocyst drainage, and other endoscopic interventions such as celiac plexus block for pain relief. We emphasize the endoscopic options in this review, and attempt to extract the most up to date information from the current literature. The treatment of CP and its complications are discussed extensively. Complications such as biliary strictures. pancreatic pseudocysts, and chronic pain are common issues that arise as long-term complications of CP. These often require endoscopic or surgical management and possibly a combination of approaches, however choosing amongst the various therapeutic and palliative modalities while weighing the risks and benefits, makes the management of CP challenging. Treatment goals should be not just to control symptoms but also to prevent disease progression. Our aim in this paper is to advocate and emphasize an evidence based approach for the management of CP and associated long term complications.

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Endoscopic stenting for common bile duct stenoses in chronic pancreatitis: results and impact on long-term outcome

Cited by 65 publications

References 16 publications

Italian consensus guidelines for chronic pancreatitis

Italian consensus guidelines for chronic pancreatitis

Endoscopic and Conservative Management of Chronic Pancreatitis and Its Complications

Endoscopic management of chronic pancreatitis

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