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Motion--pancreatic endoscopy is useful for the pain of chronic pancreatitis: arguments for the motion.

Publication ,  Journal Article
Branch, SM
Published in: Can J Gastroenterol
January 2003

Pain is the dominant clinical problem in patients with chronic pancreatitis. It can be due to pseudocysts, as well as strictures and stones in the pancreatic ducts. Most experts agree that obstruction could cause increased pressure within the main pancreatic duct or its branches, resulting in pain. Endoscopic therapy aims to alleviate pain by reducing the pressure within the ductal system and draining pseudocysts. Approaches vary according to the specific nature of the problem, and include transgastric, transduodenal and transpapillary stenting and drainage. Additional techniques for the removal of stones from the pancreatic duct include extracorporeal shockwave lithotripsy. Success rates for stone extraction and stenting of strictures are high in specialized centres that employ experienced endoscopists, but pain often recurs during long term follow-up. Complications include pancreatitis, bleeding, infection and perforation. In the case of pancreatic pseudocysts, percutaneous or even surgical drainage should be considered if septae or large amounts of debris are present within the lesion. This article describes the techniques, indications and results of endoscopic therapy of pancreatic lesions.

Duke Scholars

Published In

Can J Gastroenterol

DOI

ISSN

0835-7900

Publication Date

January 2003

Volume

17

Issue

1

Start / End Page

57 / 59

Location

Canada

Related Subject Headings

  • Stents
  • Pancreatitis
  • Pancreatic Pseudocyst
  • Pancreatic Ducts
  • Pain Management
  • Pain
  • Humans
  • Gastroenterology & Hepatology
  • Endoscopy, Digestive System
  • Drainage
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Branch, S. M. (2003). Motion--pancreatic endoscopy is useful for the pain of chronic pancreatitis: arguments for the motion. Can J Gastroenterol, 17(1), 57–59. https://doi.org/10.1155/2003/518084
Branch, Stanley M. “Motion--pancreatic endoscopy is useful for the pain of chronic pancreatitis: arguments for the motion.Can J Gastroenterol 17, no. 1 (January 2003): 57–59. https://doi.org/10.1155/2003/518084.
Branch, Stanley M. “Motion--pancreatic endoscopy is useful for the pain of chronic pancreatitis: arguments for the motion.Can J Gastroenterol, vol. 17, no. 1, Jan. 2003, pp. 57–59. Pubmed, doi:10.1155/2003/518084.

Published In

Can J Gastroenterol

DOI

ISSN

0835-7900

Publication Date

January 2003

Volume

17

Issue

1

Start / End Page

57 / 59

Location

Canada

Related Subject Headings

  • Stents
  • Pancreatitis
  • Pancreatic Pseudocyst
  • Pancreatic Ducts
  • Pain Management
  • Pain
  • Humans
  • Gastroenterology & Hepatology
  • Endoscopy, Digestive System
  • Drainage