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Endoscopic clearance of the pancreatic duct in chronic pancreatitis with severe pain

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Summary

In a phase I study endoscopic removal of pancreatic duct stones and protein plugs was attempted in five patients suffering from chronic pancreatitis with severe chronic pain. The pancreatic duct contents could be extracted after successful sphincterotomy in three patients. Clearance of the pancreatic duct was followed by complete or partial relief of pain. The follow-up period was 17–48 months. Endoscopic extraction is, however, not without complications; it is technically difficult, and many attempts may be required. The combination of endoscopic therapy and extracorporeal shock-wave lithotripsy may be a better alternative.

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Authors and Affiliations

  1. Department of Hepatobiliary and Pancreatic Diseases, Södersjukhuset, S-118 83, Stockholm, Sweden

    Stefan Linder, Anette von Rosen & Karl-Ludvig Wiechel

  2. Department of Radiology, Södersjukhuset, S-118 83, Stockholm, Sweden

    Carl-Fredrik Engström

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  1. Stefan Linder
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  2. Carl-Fredrik Engström
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  3. Anette von Rosen
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  4. Karl-Ludvig Wiechel
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Linder, S., Engström, CF., von Rosen, A. et al. Endoscopic clearance of the pancreatic duct in chronic pancreatitis with severe pain. Surg Endosc 7, 37–41 (1993). https://doi.org/10.1007/BF00591235

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