Features of Chronic Pancreatitis – A Focus on ERP

Jörg Albert
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Abstract

Endoscopic retrograde cholangiopancreatography (ERCP) offers an effective interventional option for treating symptomatic chronic pancreatitis. Endoscopic pancreatic sphincterotomy is performed to facilitated endoscopic treatment. Pancreatic duct strictures can be treated by inserting plastic stents, and a 10 Fr endoprosthesis is adequate in many cases. Before stent insertion, hydrostatic balloon dilation is needed in some cases. Pancreatic stones can be removed with a dormia basket, but combining ERCP and extracorporeal shockwave lithotripsy (ESWL) is often most effective.

Standard and advanced endoscopic treatment approaches are delineated in this article and include stricture dilation with a Soehendra retriever, cSEMS placement and multi-stenting.

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慢性胰腺炎的特征——以ERP为重点
内镜逆行胰胆管造影(ERCP)为治疗症状性慢性胰腺炎提供了一种有效的介入选择。内镜胰括约肌切开术以方便内镜治疗。胰管狭窄可以通过植入塑料支架来治疗,在许多情况下,10fr内假体就足够了。在某些情况下,在支架置入之前,需要进行静压球囊扩张。胰脏结石可以用睡眠篮去除,但ERCP和体外冲击波碎石术(ESWL)相结合通常是最有效的。本文描述了标准和先进的内镜治疗方法,包括使用Soehendra检索器进行狭窄扩张,cems放置和多支架置入。
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