November 12, 2014
Notes: Ducarme, G
J Perinatol. 2014 Feb;34(2):87-94. doi: 10.1038/jp.2013.161. Epub 2013 Dec 19.
Author Address: Department of Obstetrics and Gynecology, Centre Hospitalier Departemental, La Roche sur Yon, France.
1] Pole des Maladies de l’Appareil Digestif, Service de Gastroenterologie-Pancreatologie, Hopital Beaujon, AP-HP, Clichy, France  Inserm U773-CRB3, Universite Paris-Diderot, Clichy, France.
Department of Obstetrics and Gynecology, Hopital Beaujon, AP-HP, Universite Paris-Diderot, Clichy, France.
Reference Type: Journal Article
Record Number: 4653Author: Dumonceau, J. M. and Macias-Gomez, C.
Title: Endoscopic management of complications of chronic pancreatitis
Journal: World J Gastroenterol
Date: Nov 14
Short Title: Endoscopic management of complications of chronic pancreatitis
Alternate Journal: World journal of gastroenterology : WJG
ISSN: 2219-2840 (Electronic)
Accession Number: 24259962
Keywords: *Cholangiopancreatography, Endoscopic Retrograde/adverse
Abstract: Pseudocysts and biliary obstructions will affect approximately one third of patients with chronic pancreatitis (CP). For CP-related, uncomplicated, pancreatic pseudocysts (PPC), endoscopy is the first-choice therapeutic option. Recent advances have focused on endosonography-guided PPC transmural drainage, which tends to replace the conventional, duodenoscope-based coma immediately approach. Ancillary material is being tested to facilitate the endosonography-guided procedure. In this review, the most adequate techniques depending on PPC characteristics are presented along with supporting evidence. For CP-related biliary obstructions, endoscopy and surgery are valid therapeutic options. Patient co-morbidities (e.g., portal cavernoma) and expected patient compliance to repeat endoscopic procedures are important factors when selecting the most adapted option. Malignancy should be reasonably ruled out before embarking on the endoscopic treatment of presumed CP-related biliary strictures. In endoscopy, the gold standard technique consists of placing simultaneous, multiple, side-by-side, plastic stents for a one-year period. Fully covered self-expandable metal stents are challenging this method and have provided 50% mid-term success.