What is the role of endotherapy in chronic pancreatitis?

Haritha Avula, Stuart Sherman

Research output: Contribution to journalReview article

8 Citations (Scopus)

Abstract

Chronic pancreatitis (CP) can have debilitating clinical course due to chronic abdominal pain, malnutrition and related complications. Medical, endoscopic and surgical treatment of CP should aim at control of symptoms, prevention of progression of the disease and correction of complications. Endoscopic management plays a specific role in carefully selected patients as primary interventional therapy when medical measures fail or in high-risk surgical candidates. Endotherapy for CP is utilized also as a bridge to surgery or to assess potential response to pancreatic surgery. In this review we address the role of endotherapy for the relief of obstruction of the pancreatic duct (PD) and bile duct, closure of PD leaks and drainage of pseudocysts in the setting of CP. In addition, endotherapy for relief of pancreatic pain by endoscopic ultrasound-guided celiac plexus block for CP is discussed.

Original languageEnglish (US)
Pages (from-to)367-382
Number of pages16
JournalTherapeutic Advances in Gastroenterology
Volume3
Issue number6
DOIs
StatePublished - Nov 2010

Fingerprint

Chronic Pancreatitis
Pancreatic Ducts
Celiac Plexus
Bile Ducts
Malnutrition
Chronic Pain
Abdominal Pain
Disease Progression
Drainage
Pain
Therapeutics

Keywords

  • chronic pancreatitis
  • endotherapy
  • ERCP
  • pancreatic duct stone
  • pancreatic duct stricture
  • pseudocyst

ASJC Scopus subject areas

  • Gastroenterology

Cite this

What is the role of endotherapy in chronic pancreatitis? / Avula, Haritha; Sherman, Stuart.

In: Therapeutic Advances in Gastroenterology, Vol. 3, No. 6, 11.2010, p. 367-382.

Research output: Contribution to journalReview article

@article{98f82660e11c41638f1c1212f061c353,
title = "What is the role of endotherapy in chronic pancreatitis?",
abstract = "Chronic pancreatitis (CP) can have debilitating clinical course due to chronic abdominal pain, malnutrition and related complications. Medical, endoscopic and surgical treatment of CP should aim at control of symptoms, prevention of progression of the disease and correction of complications. Endoscopic management plays a specific role in carefully selected patients as primary interventional therapy when medical measures fail or in high-risk surgical candidates. Endotherapy for CP is utilized also as a bridge to surgery or to assess potential response to pancreatic surgery. In this review we address the role of endotherapy for the relief of obstruction of the pancreatic duct (PD) and bile duct, closure of PD leaks and drainage of pseudocysts in the setting of CP. In addition, endotherapy for relief of pancreatic pain by endoscopic ultrasound-guided celiac plexus block for CP is discussed.",
keywords = "chronic pancreatitis, endotherapy, ERCP, pancreatic duct stone, pancreatic duct stricture, pseudocyst",
author = "Haritha Avula and Stuart Sherman",
year = "2010",
month = "11",
doi = "10.1177/1756283X10376991",
language = "English (US)",
volume = "3",
pages = "367--382",
journal = "Therapeutic Advances in Gastroenterology",
issn = "1756-283X",
publisher = "SAGE Publications Ltd",
number = "6",

}

TY - JOUR

T1 - What is the role of endotherapy in chronic pancreatitis?

AU - Avula, Haritha

AU - Sherman, Stuart

PY - 2010/11

Y1 - 2010/11

N2 - Chronic pancreatitis (CP) can have debilitating clinical course due to chronic abdominal pain, malnutrition and related complications. Medical, endoscopic and surgical treatment of CP should aim at control of symptoms, prevention of progression of the disease and correction of complications. Endoscopic management plays a specific role in carefully selected patients as primary interventional therapy when medical measures fail or in high-risk surgical candidates. Endotherapy for CP is utilized also as a bridge to surgery or to assess potential response to pancreatic surgery. In this review we address the role of endotherapy for the relief of obstruction of the pancreatic duct (PD) and bile duct, closure of PD leaks and drainage of pseudocysts in the setting of CP. In addition, endotherapy for relief of pancreatic pain by endoscopic ultrasound-guided celiac plexus block for CP is discussed.

AB - Chronic pancreatitis (CP) can have debilitating clinical course due to chronic abdominal pain, malnutrition and related complications. Medical, endoscopic and surgical treatment of CP should aim at control of symptoms, prevention of progression of the disease and correction of complications. Endoscopic management plays a specific role in carefully selected patients as primary interventional therapy when medical measures fail or in high-risk surgical candidates. Endotherapy for CP is utilized also as a bridge to surgery or to assess potential response to pancreatic surgery. In this review we address the role of endotherapy for the relief of obstruction of the pancreatic duct (PD) and bile duct, closure of PD leaks and drainage of pseudocysts in the setting of CP. In addition, endotherapy for relief of pancreatic pain by endoscopic ultrasound-guided celiac plexus block for CP is discussed.

KW - chronic pancreatitis

KW - endotherapy

KW - ERCP

KW - pancreatic duct stone

KW - pancreatic duct stricture

KW - pseudocyst

UR - http://www.scopus.com/inward/record.url?scp=79551716569&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79551716569&partnerID=8YFLogxK

U2 - 10.1177/1756283X10376991

DO - 10.1177/1756283X10376991

M3 - Review article

C2 - 21180616

AN - SCOPUS:79551716569

VL - 3

SP - 367

EP - 382

JO - Therapeutic Advances in Gastroenterology

JF - Therapeutic Advances in Gastroenterology

SN - 1756-283X

IS - 6

ER -