Recent Advances in Management of Chronic Pancreatitis.
10.4166/kjg.2015.66.3.144
- Author:
Seon Mee PARK
1
Author Information
1. Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea. smpark@chungbuk.ac.kr
- Publication Type:English Abstract ; Review
- Keywords:
Pancreatitis, chronic;
Enzyme replacement therapy;
Antioxidants;
Endoscopic retrograde cholangiopancreatography;
Endosonography
- MeSH:
Antioxidants/therapeutic use;
Cholangiopancreatography, Endoscopic Retrograde;
Endosonography;
Enzyme Replacement Therapy;
Fibrosis;
Gallstones/therapy;
Humans;
Lithotripsy;
Pancreas/pathology;
Pancreatitis, Chronic/*drug therapy/pathology
- From:The Korean Journal of Gastroenterology
2015;66(3):144-149
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Treatment for chronic pancreatitis (CP) should be started early to prevent further pancreatic fibrosis and managed with a multidisciplinary approach to prevent complications and to maintain a good quality of life. The management strategies of CP can be divided into medical, endoscopic, and surgical treatment. The role of pancreatic enzymes and antioxidants for pain relief is not clearly defined, but their role in maintaining nutritional support by correcting exocrine insufficiency is well established. Endoscopic treatment is applied for resolution of pancreatic or bile duct strictures, clearance of pancreatic duct stones, and pseudocyst drainage. Endosonography-guided celiac plexus or celiac ganglia block for pain relief are known to be safe procedures but evidence for their effectiveness is still lacking. Surgery is commonly recommended when endoscopic therapy fails or there is suspicion of malignancy. New evidence-based guidelines for the management of CP are needed.
