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Treatment of Chronic Obstructive Pancreatitis

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Gastrointestinal and Pancreatico-Biliary Diseases: Advanced Diagnostic and Therapeutic Endoscopy

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Abstract

The endoscopic treatment of chronic obstructive pancreatitis is contingent upon the coexistence of pancreatic duct calculi or the upstream complication of ductal disruption, to include pancreatic pseudocyst, pancreatic ascites, or pancreatico-enteric fistula. Treatment presupposes pancreatic sphincterotomy, catheter, or balloon dilation and the placement of one or more PD endoprostheses. Concomitant calculi require removal, often with the help of electrohydraulic, laser, mechanical, or extracorporeal lithotripsy and, at times, drainage of upstream extraductal fluid collections. More recently, self-expandable stents have been used to treat patients with refractory PD stenoses. Results to include pain and stricture resolution are currently being evaluated. This chapter reviews current endoscopic treatment and surgical evidence for chronic obstructive pancreatitis.

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Authors and Affiliations

  1. Digestive Disease Institute, Virginia Mason Medical Center, Seattle, WA, USA

    Michael Larsen & Richard Kozarek

Authors
  1. Michael Larsen
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  2. Richard Kozarek
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Correspondence to Richard Kozarek .

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Editors and Affiliations

  1. Division of Gastroenterology and Gastrointestinal Endoscopy IRCCS, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy

    Pier Alberto Testoni

  2. Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan

    Haruhiro Inoue

  3. Department of Gastroenterology and Hepatology, Mayo Clinic Florida, Jacksonville, FL, USA

    Michael B. Wallace

Section Editor information

  1. Gastrointestinal Endoscopy Unit, Vita‐Salute San Raffaele University, Milan, Italy

    Pier Alberto Testoni

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Larsen, M., Kozarek, R. (2022). Treatment of Chronic Obstructive Pancreatitis. In: Testoni, P.A., Inoue, H., Wallace, M.B. (eds) Gastrointestinal and Pancreatico-Biliary Diseases: Advanced Diagnostic and Therapeutic Endoscopy. Springer, Cham. https://doi.org/10.1007/978-3-030-56993-8_97

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  • DOI: https://doi.org/10.1007/978-3-030-56993-8_97

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  • Publisher Name: Springer, Cham

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