[Endoscopic and surgical treatment of chronic pancreatitis].
Therapeutic management of patients with chronic pancreatitis is a multidisciplinary approach. Although interventional endoscopy and external lithotripsy have an important role to play, surgery keeps a prominent position in the therapeutic armentarium. The progress in radiology and endoscopy, the possibility of a preliminary therapeutic approach by a nonsurgical therapy have led to precise guidelines in the management. Surgery is indicated not only for rescue when endoscopic treatment is unsuccessful, but also as a one step procedure when failure of nonsurgical therapy can be anticipated right away. A key point is that nonsurgical and surgical therapeutic modalities are now complementary instead of being competitive.
Partensky
Christian
C
Service de chirurgie digestive Fédération des spécialités digestives Hôpital Edouard-Herriot 69437 Lyon. christian.partensky@chu-lyon.fr
D000714:Anastomosis, Surgical; D002908:Chronic Disease; D004724:Endoscopy / Q000379:methods*; D006801:Humans; D016577:Pancreaticoduodenectomy; D010195:Pancreatitis / Q000473:pathology / Q000601:surgery*