Endoscopic Treatment of Pain in Chronic Pancreatitis: Really Useful or Only Feasible?

Costamagna, Guido; Tringali, Andrea

doi:10.1002/9780470987506.ch34

Cited by 2 publications

(3 citation statements)

References 25 publications

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“…As a common practice, endoscopic therapy is performed first for pancreatic duct stones, and the use of ESWL is considered only in patients with endoscopically unremovable stones. Endoscopic pancreatic sphincterotomy (EPS) is almost always performed as the first step toward improving access to the pancreatic duct before pancreatic stone extraction or endoprosthesis insertion . Minor papilla sphincterotomy may be needed in up to 20% of patients with dominant dorsal duct anatomy (complete or incomplete pancreas divisum) .…”

Section: Endoscopic Interventions Before and After Eswlmentioning

confidence: 99%

“…Endoscopic pancreatic sphincterotomy (EPS) is almost always performed as the first step toward improving access to the pancreatic duct before pancreatic stone extraction or endoprosthesis insertion . Minor papilla sphincterotomy may be needed in up to 20% of patients with dominant dorsal duct anatomy (complete or incomplete pancreas divisum) . Routine endoscopic biliary sphincterotomy may not be mandatory for EPS.…”

Section: Endoscopic Interventions Before and After Eswlmentioning

confidence: 99%

“…Theoretically, ESWL can pulverize the stones and fragments can pass spontaneously through the intact sphincter, with resultant relief of ductal obstruction. For patients with calcified stones but without a tight stricture, ESWL alone can be a possible first‐line treatment, endotherapy being considered in patients where this approach is not successful . In such situations, magnetic resonance cholangiopancreatography (MRCP) may be a useful imaging tool to get information about the pancreatic duct.…”

Section: Indications and Role Of Eswlmentioning

confidence: 99%

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Extracorporeal shock wave lithotripsy for the treatment of pancreatic duct stones

Choi

Kim

2006

J Hepatobiliary Pancreat Surg

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The purpose of endoscopic therapy in chronic pancreatitis is to decompress the main pancreatic duct and to remove the obstacles that impede the ductal flow of pancreatic juice. The availability of extracorporeal shock wave lithotripsy (ESWL) has improved the results of endoscopic drainage of the main pancreatic duct and has also expanded the indications of endoscopic therapy for chronic pancreatitis. This article briefly reviews ESWL for pancreatic duct stones in patients with chronic pancreatitis, including our experience with ESWL. ESWL is an effective and safe procedure for endoscopically unremovable main pancreatic duct stones, and, in selected patients, ESWL alone may be effective.

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Section: Endoscopic Interventions Before and After Eswlmentioning

confidence: 99%

Section: Endoscopic Interventions Before and After Eswlmentioning

confidence: 99%

Section: Indications and Role Of Eswlmentioning

confidence: 99%

See 1 more Smart Citation

Extracorporeal shock wave lithotripsy for the treatment of pancreatic duct stones

Choi

Kim

2006

J Hepatobiliary Pancreat Surg

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Pancreatic pain

Nechutová¹,

Dítě²,

Hermanová³

et al. 2014

Wien Med Wochenschr

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Pain is a common symptom of many diseases. Recently, the pain has been classified and analyzed exactly. Its particular components/types are described to the maximum of their depths and details. That is why each particular pain present in a specific disease (pancreatopathies included) has to be treated according to the presence of the specific type of pain. In diseases of pancreas, there are nociceptive, neuropathic, and inflammatory components of pain participating, frequently. Especially long-lasting, not well-controlled pain sets off the process of neuromodulation. The recent pioneering applications/administrations of various neuromodulatory therapeutic approaches represent the promising discoveries for the treatment of long-term, severe, drug-resistant pain syndromes, including chronic pancreatitis. In this article, we summarized the characteristics of pain, the therapeutic strategy, and algorithms of analgesic treatment (in general and applied for pancreatopathies), including new therapeutic trends and approaches.

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Endoscopic Treatment of Pain in Chronic Pancreatitis: Really Useful or Only Feasible?

Cited by 2 publications

References 25 publications

Extracorporeal shock wave lithotripsy for the treatment of pancreatic duct stones

Extracorporeal shock wave lithotripsy for the treatment of pancreatic duct stones

Pancreatic pain

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