The Role of Endoscopic and Surgical Treatment in Chronic Pancreatitis

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Udd , M , Kylänpää , L & Kokkola , A 2020 , ' The Role of Endoscopic and Surgical Treatment in Chronic Pancreatitis ' , Scandinavian Journal of Surgery , vol. 109 , no. 1 , pp. 69-78 . https://doi.org/10.1177/1457496920910009

Title: The Role of Endoscopic and Surgical Treatment in Chronic Pancreatitis
Author: Udd, M.; Kylänpää, L.; Kokkola, A.
Contributor: University of Helsinki, Clinicum
University of Helsinki, Department of Surgery
University of Helsinki, HUS Abdominal Center
Date: 2020-03
Language: eng
Number of pages: 10
Belongs to series: Scandinavian Journal of Surgery
ISSN: 1457-4969
URI: http://hdl.handle.net/10138/314717
Abstract: Chronic pancreatitis is a long-term illness leading to hospital admissions and readmission. This disease is often caused by heavy alcohol consumption and smoking. Patients with chronic pancreatitis suffer from acute or chronic pain episodes, recurrent pancreatitis, and complications, such as pseudocysts, biliary duct strictures, and pancreatic duct fistulas. Pancreatic duct strictures and stones may increase intraductal pressure and cause pain. Endoscopic therapy is aiming at decompressing the pressure and relieving the pain, most commonly with pancreatic duct stents and pancreatic duct stone retrieval. Early surgery is another option to treat the pain. In addition, endotherapy has been successful in treating complications related to chronic pancreatitis. The therapy should be individually chosen in a multidisciplinary meeting. Endoscopic therapy and surgery as treatment options for chronic pancreatitis are discussed in this review.
Subject: Chronic pancreatitis
endoscopic therapy
hepato-pancreatic biliary surgery
pancreatic duct
endoscopic retrograde cholangiopancreatography
extracorporeal shockwave lithotripsy
electrohydraulic lithotripsy
peroral pancreatoscopy
SHOCK-WAVE LITHOTRIPSY
RANDOMIZED CONTROLLED-TRIAL
PLASTIC STENTS
BILIARY STRICTURE
FLUID COLLECTIONS
DUCT STRICTURES
HEAD RESECTION
FOLLOW-UP
MANAGEMENT
DRAINAGE
3126 Surgery, anesthesiology, intensive care, radiology
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