Avtor/Urednik		Mlinarič, Vladimir
Naslov		Endoskopsko zdravljenje kroničnega pankreatitisa
Prevedeni naslov		Endoscopic therapy of chronic pancreatitis
Tip		članek
Vir		In: Pleskovič A, editor. Zbornik simpozija Kirurgija trebušne slinavke; 2002; Ljubljana. Ljubljana: Kirurška klinika, Klinični oddelek za abdominalno kirurgijo,
Leto izdaje		2002
Obseg		str. 70-81
Jezik		slo
Abstrakt		An incidence of chronic pancreatitis (CPJ in western civilisation is between 5 to 10 per 100.000. The most common cause is chronic alcohol abuse. The diagnosis of CP is confirmed by US or CT and/or MRCP. ERCP to date is the golden standard in diagnosing ductal irregularities in moderate and severe CP. EUS might be more sensitive imaging investigation in revealing early lesions of CP. EPS can be the definite treatment in some patients (e.g. sphincter of Oddi dysfunction, papillary stenosis, pancreas divisum). In most patients it represents the initial procedure followed by other techniques. Pancreatic duct stones can be removed by special Dormia basket in combination with mechanical lithotripsy, by balloon catheter, ESWL or ISWL (electrohydraulic or laser induced). Over the past 10 years, many endoscopic drainage procedures were estabilished. In the case of single stricture, endoscopic balloon dilation or bougienage might be helpful. In most of the patients selected for endoscopic drainage, the insertion of a pancreatic plastic stent is mandatory. Indications for endoscopic therapy of stenosed common bile duct due to CP are obstructive jaundice and cholangitis. Plastic stent is a temporary solution before surgical therapy. Self-expandable metal mesh stents can be alternative to surgical treatment in the selected group of patients with CP and biliary stenosis. Treatment of pancreatic PC is recommended if they are larger than 5 - 6 cm in diameter (increasing risk of cyst or infection), or if they lead to local complications. ERCP is essential before endoscopic therapy to demonstrate if the PC communicates with the main pancreatic duct. (Abstract truncated at 2000 characters).
Deskriptorji		PANCREATITIS ENDOSCOPY, GASTROINTESTINAL CHRONIC DISEASE CHOLANGIOPANCREATOGRAPHY, ENDOSCOPIC RETROGRADE SPHINCTEROTOMY, ENDOSCOPIC LITHOTRIPSY STENTS PANCREATIC PSEUDOCYST