Update on Endoscopic Management of Main Pancreatic Duct Stones in Chronic Calcific Pancreatitis.
10.3904/kjim.2012.27.1.20
- Author:
Eun Kwang CHOI
1
;
Glen A LEHMAN
Author Information
1. Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA. glehman@iupui.edu
- Publication Type:Review
- Keywords:
Pancreatitis, chronic;
Calculi;
Endoscopy;
Lithotripsy;
Surgery
- MeSH:
Abdominal Pain/etiology;
Balloon Dilation;
Calcinosis/complications/diagnosis/physiopathology/surgery/*therapy;
Calculi/diagnosis/etiology/physiopathology/surgery/*therapy;
*Endoscopy/instrumentation;
Evidence-Based Medicine;
Humans;
Lithotripsy;
Pancreatic Ducts/physiopathology/*surgery;
Pancreatitis, Chronic/complications/diagnosis/physiopathology/surgery/*therapy;
Sphincterotomy, Endoscopic;
Stents;
Treatment Outcome
- From:The Korean Journal of Internal Medicine
2012;27(1):20-29
- CountryRepublic of Korea
- Language:English
-
Abstract:
Pancreatic duct stones are a common complication during the natural course of chronic pancreatitis and often contribute to additional pain and pancreatitis. Abdominal pain, one of the major symptoms of chronic pancreatitis, is believed to be caused in part by obstruction of the pancreatic duct system (by stones or strictures) resulting in increasing intraductal pressure and parenchymal ischemia. Pancreatic stones can be managed by surgery, endoscopy, or extracorporeal shock wave lithotripsy. In this review, updated management of pancreatic duct stones is discussed.
