November 12, 2014
Notes: Coffey, Michael J
Ooi, Chee Y
Arch Dis Child. 2013 Dec;98(12):965-9. doi: 10.1136/archdischild-2013-304462. Epub 2013 Sep 6.
Author Address: School of Women’s and Children’s Health, Medicine, University of New South Wales, , Sydney, New South Wales, Australia.
Reference Type: Journal Article
Record Number: 4883Author: Coronel, E., Czul, F. and Gelrud, A.
Title: [Endoscopic management of the complications of pancreatitis]
Journal: Rev Gastroenterol Peru
Short Title: [Endoscopic management of the complications of pancreatitis]
Alternate Journal: Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru
ISSN: 1609-722X (Electronic)
Original Publication: Manejo endoscopico de las complicaciones de la pancreatitis.
Accession Number: 24108377
Keywords: Acute Disease
*Endoscopy, Digestive System
Abstract: Acute and chronic pancreatitis may lead to complications that prior the recent advancement of therapeutic endoscopy had to be treated with conventional surgery. The current techniques in interventional endoscopy allow us to access the pancreas and treat some of the complications in a minimally invasive way leading to less morbidity in our patients. Approximately 90% of acute pancreatitis episodes are edematous with early resolution of clinical symptoms and rarely leading to major complications. Patients with necrotizing pancreatitis are susceptible to local and systemic complications particularly in the setting of organ failure. On the other hand chronic pancreatitis is as a chronic inflammatory process that leads to fibrosis of the gland and in occasions to exocrine and/or endocrine insufficiency. The main objective of therapeutic endoscopy in chronic pancreatitis is to relief the obstruction and decreases the pressure in the pancreatic duct with the intention to alleviate abdominal pain. In this review we will address the indications and endoscopic techniques to treat the different complications of pancreatitis such as pseudo cyst drainage, walled off necrosis debridement, disconnected duct syndrome and different options for endoscopic therapy in chronic pancreatitis.