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Endoscopic Therapies for Chronic Pancreatitis

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Abstract

Chronic pancreatitis is a fibroinflammatory disease of the pancreas leading to varying degrees of endocrine and exocrine dysfunction. Treatment options are generally designed to control the pain of chronic pancreatitis, and endoscopic therapy is one of the main treatment modalities. Herein, we describe the endoscopic management of pancreatic duct calculi and strictures, entrapment of the intrapancreatic bile duct, celiac plexus interventions, and drainage of pancreatic pseudocysts.

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Abbreviations

CP:

Chronic pancreatitis

CPB:

Celiac plexus block

ERCP:

Endoscopic retrograde cholangiopancreatography

ERP:

Endoscopic retrograde pancreatography

ESWL:

Extracorporeal shock wave lithotripsy

EUS:

Endoscopic ultrasound

MPD:

Main pancreatic duct

PD:

Pancreatic duct

TMD:

Transmural drainage

TPD:

Transpapillary drainage

SEMS:

Self-expanding metal stents

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  1. Section of Gastroenterology and Hepatology, Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH, 03756, USA

    Jeffrey M. Adler & Timothy B. Gardner

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  1. Jeffrey M. Adler
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Correspondence to Timothy B. Gardner.

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Adler, J.M., Gardner, T.B. Endoscopic Therapies for Chronic Pancreatitis. Dig Dis Sci 62, 1729–1737 (2017). https://doi.org/10.1007/s10620-017-4502-5

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