Endoscopic Therapies for Chronic Pancreatitis

Area of Science:

• Gastroenterology and Hepatology
• Interventional Endoscopy

Background:

• Chronic pancreatitis is a debilitating fibroinflammatory pancreatic condition.
• It causes significant endocrine and exocrine dysfunction.
• Pain management is a primary therapeutic goal.

Purpose of the Study:

• To detail endoscopic management strategies for chronic pancreatitis complications.
• To highlight endoscopic interventions for pancreatic duct calculi and strictures.
• To review endoscopic approaches for bile duct entrapment, celiac plexus interventions, and pseudocyst drainage.

Main Methods:

• Endoscopic retrograde cholangiopancreatography (ERCP) for ductal interventions.
• Endoscopic ultrasound (EUS)-guided interventions for pseudocysts and celiac plexus.
• Management of pancreatic duct stones and strictures using various endoscopic tools.
• Addressing biliary complications secondary to pancreatic inflammation.

Main Results:

• Successful endoscopic removal of pancreatic duct calculi.
• Effective endoscopic சிகிச்சை for pancreatic duct strictures.
• Endoscopic drainage of pancreatic pseudocysts provides symptomatic relief.
• Celiac plexus neurolysis via endoscopic ultrasound reduces pain.

Conclusions:

• Endoscopic therapy is a cornerstone in managing chronic pancreatitis.
• Minimally invasive endoscopic procedures effectively address major complications.
• These techniques improve patient outcomes and quality of life.