Overall, endoscopy can now perform some of the same tasks in the management of chronic pancreatitis that were previously performed by open surgery. Comparative trials with surgery have not been done. When identical tasks (e.g., drainage of retrogastric or periduodenal unilocular pseudocyst in a patient without main pancreatic duct disruption) can be done surgically or endoscopically, endoscopy is preferred, as it is less invasive. Procedures that require several sessions, such as stricture and stone management, warrant comparative efficacy and cost efficacy trials with alternative therapies. Endoscopy has the advantage of being repeatable years down the road if symptoms and amenable lesions recur.
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging