Endoscopic Management of Benign Pancreaticobiliary Disorders

Area of Science:

• Gastroenterology and Endoscopy
• Minimally Invasive Surgery
• Pancreaticobiliary Medicine

Background:

• Benign pancreaticobiliary disorders present complex management challenges.
• Traditional surgical interventions may carry significant risks, especially for high-risk patients.
• Advancements in endoscopic techniques offer alternative solutions.

Purpose of the Study:

• To review the current endoscopic management strategies for benign pancreaticobiliary disorders.
• To highlight the efficacy and safety of various endoscopic procedures.
• To discuss the role of endoscopy in managing complications like gallstones, strictures, and pancreatitis.

Main Methods:

• Endoscopic retrograde cholangiopancreatography (ERCP) for choledocholithiasis and strictures.
• Endoscopic ultrasound (EUS)-guided drainage for gallbladder and fluid collections.
• Peroral pancreatoscopy for pancreatic duct stones.
• Stenting and sphincterotomy for post-operative complications and strictures.

Main Results:

• Endoscopic gallbladder drainage (EUS-GBD) offers an alternative to percutaneous drainage (PT-GBD) for acute cholecystitis.
• ERCP with various lithotripsy techniques effectively manages choledocholithiasis, including complex stones.
• Endoscopic interventions provide relief for chronic pancreatitis complications like pain, strictures, and stones.
• EUS-guided procedures offer therapeutic options for complex cases and altered anatomy.

Conclusions:

• Endoscopic management provides a minimally invasive approach for a wide range of benign pancreaticobiliary conditions.
• These techniques offer high clinical success rates with reduced complications.
• Evolving endoscopic methods continue to expand treatment options for complex cases.