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[The role of endoscopic treatment of complications of chronic pancreatitis]. / La place du traitement endoscopique dans les complications de la pancréatite chronique.
Ponsot, P; Ruszniewski, P.
Afiliación
  • Ponsot P; Service de gastroentérologie, hôpital Beaujon, Clichy, France.
Ann Chir ; 125(1): 68-73, 2000 Jan.
Article en Fr | MEDLINE | ID: mdl-10921189
This review outlines the indications and results of endoscopic management in the complications of chronic pancreatitis. Symptomatic obstructions of the main pancreatic duct can be treated by endocanalar prosthesis in case of fibrous stenosis and by extracorporeal shock wave lithotripsy in case of intraductal obstructive stones. Symptomatic or large pseudocysts have to be treated and may be treated by placement of transgastric or transduodenal endoprosthesis for pseudocysts protuding into the digestive tract and by using transpapillary endoprosthesis for communicating pseudocysts. Endoscopic treatment of ductal disruptions is difficult and generally requires combined techniques. Symptomatic biliary stenosis can be temporary treated using biliary endoprothesis. Short and long term results and complications of these different procedures are analysed. In the absence of controlled studies, the role of endoscopic treatment in comparison to surgical treatment is not well defined. Present indications for either approach can be discussed on an individual basis.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Conductos Pancreáticos / Seudoquiste Pancreático / Pancreatitis / Endoscopía Tipo de estudio: Etiology_studies Límite: Humans Idioma: Fr Revista: Ann Chir Año: 2000 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Francia
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Conductos Pancreáticos / Seudoquiste Pancreático / Pancreatitis / Endoscopía Tipo de estudio: Etiology_studies Límite: Humans Idioma: Fr Revista: Ann Chir Año: 2000 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Francia