Summary
Cases of chronic pancreatitis accompanied by stenosis or dilation of the pancreatic duct were treated by endoscopic placement of an endoprosthesis and drainage. The purpose of the treatment was the alleviation of pain, restoration of extrapancreatic secretion and retardation of the progression of inflammation. The procedure was performed successfully in 9 of 13 patients, using an endoscopically placed pigtail prosthesis in the pancreatic duct. The successfully treated patients consisted of 9 cases of chronic pancreatitis, 2 cases being pancreas divisum. After disappearance of the symptoms and abnormal endoscopic findings, the drainage tubes were removed after a period of 5–12 months. No serious complications were encountered. Following the procedure, an improvement in appetite and increase of 2–13 kg in body weight was recognized. This method yielded satisfactory results in the treatment of chronic pancreatitis.
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References
Amano H (1986) Endoscopic pancreatic drainage in chronic pancreatitis. Gastroenterol Endosc 28: 1763–1775
Dencker H (1972) The management of the pancreatic duct at pancreatectomy. Acta Chir Scand 138: 620–628
Fuji T, Ariyama S, Amano H, Kinukawa N, Asagami F, Aibe T, Hanma K, Takemoto T (1983) Endoscopic retrograde pancreatic drainage. Gastroenterol Endosc 25: 310–315
Fuji T, Amano H, Harima K, Aibe T, Asagami F, Kanukawa K, Ariyama S, Takemoto T (1985) Pancreatic sphincterotomy and pancreatic endoprosthesis. Endoscopy 17: 69–72
Gall FP, Gebhardt C (1979) Ein neues Konzept in der Chirurgie der chronischen Pankreatitis. Dtsch Med Wochenschr 104: 1003–1007
Gall FP, Stadelmann O (1977) Operative Behandlung der chronischen Pankreatitis. Fortschr Med 95: 1023–1027
Gebhardt C, Gall FP, Zirngibl H (1983) Chirurgische Behandlung der chronischen Pankreatitis. Dtsch Ärztebl 8: 17–21
Knyrim K von, Hagenmüller F, Classen M (1985) Endoskopische Ballondilatation bei Stenose der Pankreasgangmündung. Z Gastroenterol 23: 74–78
Kümmerle F, Mangold G, Rückert K (1979) Chirurgie des Pankreas. Internist 20: 399–402
Mangold G, Neher M, Oswald B, Wagner G (1977) Ergebnisse der Resektionsbehandlung der chronischen Pankreatitis. Dtsch Med Wochenschr 102: 229–232
Sarles JC, Sarles H (1976) Konservative und chirurgische Therapie der chronischen Pankreatitis. Leber-Magen-Darm 6: 294–299
Schwemmle K (1976) Chirurgischer Gesichtspunkt bei der Therapie der chronischen Pankreatitis. Dtsch Ärztebl 73: 2065–2067
Segal JH (1983) Endoscopic management of pancreatic strictures: catheter dilatation and insertion of pancreatic endoprosthesis (PEP). Gastrointest Endosc 29: 174–177
Siegel JH, Guelrud M (1983) Endoscopic cholangiopancreatoplasty: hydrostatic balloon dilatation in the bile duct and pancreas. Gastrointest Endosc 29: 99–103
Soehendra N, Kempeneers I, Nam VC, Grimm H (1986) Endoscopic dilatation and papillotomy of the accessory papilla and internal drainage in pancreas divisum. Endoscopy 18: 129–132
Soehendra N, Grimm H, Schreiber HW (1986) Endoskopisch transpapilläre Drainage des Ductus Wirsungianus bei der chronischen Pankreatitis. Dtsch Med Wochenschr 111: 727–731
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Dohmoto, M. Management of chronic pancreatitis with pancreas cyst by endoscopic pancreatic prosthesis. Surg Endosc 4, 83–87 (1990). https://doi.org/10.1007/BF00591264
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DOI: https://doi.org/10.1007/BF00591264