What is the role of endotherapy in chronic pancreatitis?

Haritha Avula, Stuart Sherman

Research output: Contribution to journalReview article

8 Scopus citations


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
Issue number6
StatePublished - Nov 2010


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

ASJC Scopus subject areas

  • Gastroenterology

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