title: Pancreatic Endotherapy for Chronic Pancreatitis.
abstract: Extracorporeal shock wave lithotripsy is recommended as the first-line therapy for large (>5-mm) obstructive pancreatic ductal stones. Dominant pancreatic duct strictures should be initially managed with a wide-bore single plastic stent with 3 monthly exchanges for a year, even in asymptomatic patients. Recent studies have evaluated multiple plastic and self-expanding covered metal stents for refractory pancreatic ductal stricture. Pancreatic pseudocysts should be treated endoscopically with or without endoscopic ultrasound guidance.
authors.affiliation: Wellcome-DBT India Alliance Laboratory, Asian Healthcare Foundation, Department of Medical Gastroenterology, Asian Institute of Gastroenterology, 6-3-661, Somajiguda, Hyderabad 500082, India.
authors.forename: Rupjyoti
authors.initials: R
authors.lastname: Talukdar
authors.affiliation: Department of Medical Gastroenterology, Asian Institute of Gastroenterology, 6-3-661, Somajiguda, Hyderabad 500082, India. Electronic address: aigindia@yahoo.co.in.
authors.forename: Duvvur Nageshwar
authors.initials: DN
authors.lastname: Reddy
mesh_terms: D002137:Calculi / Q000150:complications / Q000601:surgery*; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000295:instrumentation / Q000379:methods*; D049448:Cholangiopancreatography, Magnetic Resonance; D003251:Constriction, Pathologic / Q000150:complications / Q000601:surgery; D019160:Endosonography; D006801:Humans; D008096:Lithotripsy; D010183:Pancreatic Ducts / Q000473:pathology / Q000601:surgery*; D010192:Pancreatic Pseudocyst / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D050500:Pancreatitis, Chronic / Q000209:etiology / Q000601:surgery*; D000069322:Self Expandable Metallic Stents
keywords: Endoscopic retrograde cholangiopancreatography; Extracorporeal shock wave lithotripsy; Metal stents; Multiple plastic stent; Painful chronic pancreatitis; Pancreatic calculi; Pseudocyst; Stricture