Document Detail


Endoscopic therapy of chronic pancreatitis.
MedLine Citation:
PMID:  8975978     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND/AIMS: Endoscopic therapy of chronic obstructive pancreatitis is an indubitable contribution to patients which brings immediate pain relief, enables an increased caloric food intake and improves the quality of patient's life. The authors describe their experience in a set of 42 subjects, in whom endoscopic papillotomy of the pancreatic duct was carried out after diagnosis of chronic obstructive pancreatitis. MATERIAL AND METHODS: Endoscopic papillotomy was performed in 42 patients. In 17 patients, papillotomy was followed by the drainage of the pancreatic duct. RESULTS: The treatment led to disappearance or significant decrease of the epigastric pain in 85.7% patients shortly after the treatment; in 47.1% of patients the painless period lasted for further 24 months after the therapy. Increase in body weight of about 2 kg occurred in 53% of treated subjects during the 2 years since the therapy. Complications in treatment, such as acute pancreatitis in 3 patients and bleeding in 2 were mastered conservatively. CONCLUSION: Endoscopic therapy of chronic pancreatitis is an alternative approach of managing the algic form of chronic obstructive pancreatitis. Changes in the area of Vater papilla, pathological content of pancreatic duct, structure or complications of chronic pancreatitis could be solved endoscopically with a minimum burden on patient. According to the experience of the authors, endoscopic papillotomy of pancreatic duct with contingent drainage led to the pain disappearence nearly in 50% of patients in the set of 42 subjects 24 months after the performance. This fact was followed with an increase in body weight in more than 50% of treated subjects. Minimum of complications put the endoscopic therapy among relatively safe and at the same time effective approach to chronic pancreatitis.
Authors:
P Dite; V Zboril; E Cikankova
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hepato-gastroenterology     Volume:  43     ISSN:  0172-6390     ISO Abbreviation:  Hepatogastroenterology     Publication Date:    1996 Nov-Dec
Date Detail:
Created Date:  1997-03-31     Completed Date:  1997-03-31     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8007849     Medline TA:  Hepatogastroenterology     Country:  GREECE    
Other Details:
Languages:  eng     Pagination:  1633-7     Citation Subset:  IM    
Affiliation:
3rd Medical Clinic of Gastroenterology, Teaching Hospital of Masaryk University, Brno Bohunice, Czech Republic.
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MeSH Terms
Descriptor/Qualifier:
Adult
Body Weight
Cholangiopancreatography, Endoscopic Retrograde
Chronic Disease
Endoscopy*
Female
Humans
Male
Middle Aged
Pancreatitis / therapy*
Sphincterotomy, Endoscopic*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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