[Endoscopic therapy of acute and chronic pancreatitis].

Abstract

Endoscopic therapy is valuable for both acute and chronic pancreatitis. Early endoscopic papillotomy appears, in the case of a severe course of acute biliary pancreatitis, to be advantageous. Endoscopic drainage can be considered in cases of acute fluid retention and necrosis as well as subacute, non-healing pancreatitis or cyst development. By acute chronic pancreatitis with strictures or bile duct stones, papillotomy, dilation and stent insertion can lead to an improvement in pain symptoms. An improvement in endo- or exocrine function, however, is not expected. Studies on the endoscopic therapy of pancreatitis are still very limited, and recommendations can usually only be made based on retrospective case series.

• Authors: W Veltzke-Schlieker, A Adler, H Abou-Rebyeh, B Wiedenmann, T Rösch
• Journal: Der Internist (Internist (Berl)) Vol. 46 Issue 2 Pg. 166-74 (Feb 2005) ISSN: 0020-9554 [Print] Germany
• Vernacular Title: Endoskopische Therapie bei akuter und chronischer Pankreatitis.
• PMID: 15657718 (Publication Type: Comparative Study, Journal Article, Review)

Topics

• Acute Disease
• Ampulla of Vater
• Cholangiopancreatography, Endoscopic Retrograde
• Cholangiopancreatography, Magnetic Resonance
• Chronic Disease
• Drainage
• Gallstones (diagnosis, therapy)
• Humans
• Outcome and Process Assessment, Health Care
• Pancreatic Pseudocyst (diagnosis, etiology, therapy)
• Pancreatitis (diagnosis, etiology, therapy)
• Pancreatitis, Acute Necrotizing (diagnosis, etiology, therapy)
• Randomized Controlled Trials as Topic
• Sphincterotomy, Endoscopic
• Stents
• Treatment Outcome