What Is the Place of Interventional Endoscopic Treatment in Chronic Pancreatitis with Inflammatory Tumor of the Pancreatic Head?

Yoshiki Hirooka, Hidemi Goto

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Interventional endoscopic treatment in chronic pancreatitis includes the following: (1) management of main pancreatic duct stricture (plastic stents, self-expandable metallic stents, endosonography-guided access); (2) management of pancreatic stones (extracorporeal shock wave lithotripsy [ESWL] combined or not with endoscopic retrograde cholangiopancreatography [ERCP], intraductal lithotripsy); (3) management of pancreatic pseudocyst (transpapillary route, transmural route); (4) management of chronic pancreatitis-related biliary strictures. In this chapter, we address the up-to-date standard concept and therapeutic strategies based on international guidelines, reviews, and selected articles. Though endoscopic treatment is thought to be a first-line choice for management, in daily clinical practice available options, including surgery, should be discussed in a multidisciplinary team. Most important, physicians must reconfirm that endoscopic treatment in chronic pancreatitis is based on the premise that pancreatic malignancies have been excluded.

Original languageEnglish
Title of host publicationPancreatic Cancer, Cystic Neoplasms and Endocrine Tumors
Subtitle of host publicationDiagnosis and Management
PublisherWiley-Blackwell
Pages373-377
Number of pages5
ISBN (Electronic)9781118307816
ISBN (Print)9780470673188
DOIs
Publication statusPublished - 07-04-2015
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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