Archive for the 'Chronic pancreatitis' Category - Part 2

04 Aug

Quality of life assessment after pancreatic enzyme replacement therapy in chronic pancreatitis (Part 1)

The pathophysiology of chronic pancreatitis is puzzling, the classification of the disease is unsatisfactory and no standardized treatment is available . The application of new treatment modalities without controlled interdisciplinary studies intensifies the problem. Earlier studies on the natural course of chronic pancreatitis and the effects of different treatment modalities have focused on the morbidity […]

07 Jul

Pancreatic endoscopy is useful for the pain of chronic pancreatitis: PANCREATIC PSEUDOCYSTS (Part 2)

The success rates with transpapillary, cystogastrostomy and cystoduodenostomy approaches were 46%, 21% and 33%, respectively. Complication rates were as high as 17% (most of these involved bleeding), and 1% of patients died. It is important to appreciate that pseudocysts should be considered for drainage only if they are symptomatic, are causing complications or are enlarging. […]

06 Jul

Pancreatic endoscopy is useful for the pain of chronic pancreatitis: PANCREATIC PSEUDOCYSTS (Part 1)

A pancreatic pseudocyst is defined as a maturing collection of pancreatic secretions that are encased by reactive granulation tissue, which occurs in or around the pancreas as a consequence of inflammatory changes or duct leakage. The term ‘pseudocyst’ emphasizes the fact the process is not related to neoplasia. Necrosis of peripancreatic tissue frequently produces a […]

05 Jul

Pancreatic endoscopy is useful for the pain of chronic pancreatitis: DRAINAGE OF THE MAIN PANCREATIC DUCT

Endoscopic therapy, such as stone extraction and stenting of the main pancreatic duct with or without dilation, is usually performed in certain patients with chronic pancreatitis in an attempt to improve ductal drainage. It is offered as an alternative to surgery. Data from over 300 patients who have undergone pancreatic duct stenting for dominant strictures […]

04 Jul

Pancreatic endoscopy is useful for the pain of chronic pancreatitis

Endoscopic therapy for biliary and pancreatic disease has become an exciting field with the advent of therapeutic endoscopy. The advances in biliary endoscopy have encouraged skilled endoscopists to turn their attention to pancreatic diseases. Endoscopic therapy is now available for the treatment of patients with acute and chronic pancreatitis and pancreas divisum. The history of […]

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