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Endoscopic treatment for chronic pancreatitis: indications, technique, results
Author(s) -
Hirota Morihisa,
Asakura Tooru,
Kanno Atsushi,
Shimosegawa Tooru
Publication year - 2010
Publication title -
journal of hepato‐biliary‐pancreatic sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 1868-6974
DOI - 10.1007/s00534-009-0182-7
Subject(s) - medicine , pancreatitis , extracorporeal shock wave lithotripsy , endoscopic treatment , lithotripsy , endoscopy , surgery , randomized controlled trial , extracorporeal , pancreatitis, chronic
Endoscopic treatment associated with or without extracorporeal shock wave lithotripsy (ESWL) for chronic pancreatitis has been employed for about 20 years. Although two randomized control trials have revealed the greater effectiveness of surgery as compared to endoscopic treatment for chronic pancreatitis, a considerable number of patients have successfully obtained complete and long‐term relief from pain by the less invasive endoscopic treatment. In this review, we discuss the indications, techniques and results of endoscopic treatment and ESWL for painful chronic pancreatitis. We also discuss the characteristic clinical features that are predictive of a good response to endoscopic treatment and ESWL.