title: [Endoscopic treatment in chronic pancreatitis: long-term results in 18 patients].
abstract: BACKGROUND
  Intraductal stones, ductal abnormalities and pancreatic pseudocysts are part of chronic pancreatitis (CP). The goal of treatment is pain relief, resolution of local complications and relapse prevention. Endoscopic therapy (ET) can be considered in those who do not respond to medical treatment.
  
  
  OBJECTIVE
  To evaluate the indication, immediate and long-term results of ET in CP patients.
  
  
  METHODS
  Review of a database of patients with CP analyzing results of ET in 18 patients aged 16 to 60 years (13 males). Demographics, etiology, endoscopic technique, indication for treatment, pain relief, relapses and complications were recorded.
  
  
  RESULTS
  The etiology of CP was alcohol consumption in 5, idiopathic in 11, hereditary in one and autoimmune in one case. The follow-up period was 6 months to 14 years. Seven patients had diabetes mellitus type 3c and eight had moderate to severe exocrine pancreatic insufficiency. Pancreatic papillotomy was performed in all patients, with removal of some stones, without attempting a complete clearance of the pancreatic duct. In addition, a 7-10 French stent was placed in the main pancreatic duct in 15 patients with varying permanence (months to years). The stent was changed guided by recurrence of clinical symptoms. During the follow-up period, 10 patients remained asymptomatic and in three, pain or relapse were significantly reduced. Stenting failed in one patient for technical reasons. Two patients were operated. There were neither immediate nor late complications from ET.
  
  
  CONCLUSIONS
  Long-lasting improvement of CP was observed in 13 of 18 patients treated with ET, without complications associated with the procedure.
authors.forename: Alex
authors.initials: A
authors.lastname: Díaz
authors.forename: Paola
authors.initials: P
authors.lastname: Yunge
authors.forename: Álvaro
authors.initials: Á
authors.lastname: Urzúa
authors.forename: Zoltán
authors.initials: Z
authors.lastname: Berger
mesh_terms: D015746:Abdominal Pain / Q000209:etiology / Q000628:therapy; D000293:Adolescent; D000328:Adult; D000428:Alcohol Drinking / Q000009:adverse effects; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain; D050500:Pancreatitis, Chronic / Q000150:complications / Q000601:surgery*; D011184:Postoperative Period; D012008:Recurrence; D012189:Retrospective Studies; D016717:Sphincterotomy, Endoscopic / Q000009:adverse effects / Q000379:methods; D015607:Stents / Q000009:adverse effects; D016896:Treatment Outcome; D055815:Young Adult