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ERCP for Pancreatic Disorders

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Biliopancreatic Endoscopy

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Abstract

Endoscopic retrograde cholangiopancreatography (ERCP) is now widely used both in the diagnosis and treatment of a variety of pancreatic diseases. With advances in techniques, pancreatic endotherapy has been gaining popularity in the treatment of a myriad of pancreatic disorders including chronic pancreatitis, pancreatic duct stones, pancreatic duct leaks or disruptions, drainage of pseudocysts, and the prevention of pancreatitis following ERCP. The most common pancreatic endotherapeutic procedures are pancreatic sphincterotomy and stenting. Pancreatic sphincterotomy is a high-risk and technically demanding procedure. Stenting of the main pancreatic duct is particularly useful in relieving ductal obstruction, often in the setting of refractory pain from strictures, stones, or papillary stenosis. The role of pancreatic stents in preventing ERCP-induced pancreatitis has also been established. Additionally, stenting of the minor papilla has been used in the treatment of symptomatic pancreas divisum due to a stenotic minor papilla. Pancreatic duct stricture dilation is another important procedure for obstructive pancreatic disorders. The indications and techniques related to pancreatic sphincterotomy, stenting, and pancreatic duct dilation are discussed.

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Authors and Affiliations

  1. Department of Hepato-Gastroenterology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan

    Cheuk-Kay Sun M.D.

  2. School of Medicine, Fu Jen Catholic University, New Taipei, Taiwan

    Cheuk-Kay Sun M.D.

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  1. Cheuk-Kay Sun M.D.
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Correspondence to Cheuk-Kay Sun M.D. .

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Editors and Affiliations

  1. Division of Gastroenterology and Hepatology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan

    Kwok-Hung Lai

  2. Show-Chwan Health Care System, Chang-Hua, Taiwan

    Lein-Ray Mo

  3. Division of Gastroenterology, Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University, Taipei, Taiwan

    Hsiu-Po Wang

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Sun, CK. (2018). ERCP for Pancreatic Disorders. In: Lai, KH., Mo, LR., Wang, HP. (eds) Biliopancreatic Endoscopy. Springer, Singapore. https://doi.org/10.1007/978-981-10-4367-3_9

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  • DOI: https://doi.org/10.1007/978-981-10-4367-3_9

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-4366-6

  • Online ISBN: 978-981-10-4367-3

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