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Review
. 2019 Apr;35(2):98-108.
doi: 10.1159/000499611. Epub 2019 Apr 3.

Endoscopic and Conservative Management of Chronic Pancreatitis and Its Complications

Alexander Waldthaler  1 , Roberto Valente  1 , Urban Arnelo  1 , J-Matthias Löhr  1
Affiliations
Review

Endoscopic and Conservative Management of Chronic Pancreatitis and Its Complications

Alexander Waldthaler et al. Visc Med. 2019 Apr.

Abstract

Chronic pancreatitis is a progressive inflammatory disease of the pancreas potentially giving rise to several complications. For this reason, patients need long-term care and treatment by medical, interventional, and sometimes surgical measures. This article reviews current state-of-the-art strategies and guidelines for treating chronic pancreatitis with conventional and endoscopic measures.

Keywords: Chronic pancreatitis; Endoscopy; Lithotripsy; Pancreatic insufficiency.

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Figures

Fig. 1
Fig. 1
Complications of chronic pancreatitis (with permission from Löhr et al. [62]).
Fig. 2
Fig. 2
Stepwise approach to an insufficient response to pancreatic enzyme replacement therapy (PERT) for chronic pancreatitis patients with pancreatic exocrine insufficiency and maldigestive symptoms. PPI, proton pump inhibitor; SIBO, small bowel bacterial overgrowth.
Fig. 3
Fig. 3
Direct visualization of wide pancreatic side branches and fragmentation of a pancreatic stone by electrohydraulic lithotripsy via peroral pancreatoscopy.
See this image and copyright information in PMC

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