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10.11622/smedj.2014173 http://scihub22266oqcxt.onion/10.11622/smedj.2014173 C4291997!4291997!25630314     free     free     free       Singapore+Med+J 2014 ; 55 (12): 613-20 Nephropedia Template TP {{tp|p=25630314|t=2014. Current status of endotherapy for chronic pancreatitis |pdf=|usr=}}{{25630314}} gab.com Text Current status of endotherapy for chronic pancreatitis JO: Singapore Med J http://www.kidney.de/pget.php?&tw=1&pmid=25630314 #FOAvip Chronic pancreatitis is associated with varied morphological complications, including intraductal stones, main pancreatic ductal strictures, distal biliary strictures and pseudocysts. Endoscopic therapy provides a less invasive alternative to surgery. In addition, extracorporeal shockwave lithotripsy improves the success rate of endoscopic clearance of intraductal stones. However, recent data from randomised trials have shown better long-term outcomes with surgical drainage for obstructive pancreatic ductal disease. In patients with distal biliary strictures, stent insertion leads to good immediate drainage, but after stent removal, recurrent narrowing is common. Endoscopic drainage of pancreatic pseudocysts has excellent outcome and should be accompanied by pancreatic ductal stenting when a ductal communication is evident. In those who remain symptomatic, endoscopic ultrasonography-guided coeliac plexus block may provide effective but short-term pain relief. In this review, we present the current evidence for the role of endotherapy in the management of patients with chronic pancreatitis. Twit Text FOAVip Current status of endotherapy for chronic pancreatitis ????Singapore Med J http://www.kidney.de/pget.php?&tw=1&pmid=25630314 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=25630314 #FOAvip English Wikipedia <ref>{{Cite pmid|25630314}}</ref> Current status of endotherapy for chronic pancreatitis #MMPMID25630314 Kwek ABE; Ang TL; Maydeo A Singapore Med J 2014[Dec]; 55 (12): 613-20 PMID25630314show ga Chronic pancreatitis is associated with varied morphological complications, including intraductal stones, main pancreatic ductal strictures, distal biliary strictures and pseudocysts. Endoscopic therapy provides a less invasive alternative to surgery. In addition, extracorporeal shockwave lithotripsy improves the success rate of endoscopic clearance of intraductal stones. However, recent data from randomised trials have shown better long-term outcomes with surgical drainage for obstructive pancreatic ductal disease. In patients with distal biliary strictures, stent insertion leads to good immediate drainage, but after stent removal, recurrent narrowing is common. Endoscopic drainage of pancreatic pseudocysts has excellent outcome and should be accompanied by pancreatic ductal stenting when a ductal communication is evident. In those who remain symptomatic, endoscopic ultrasonography-guided coeliac plexus block may provide effective but short-term pain relief. In this review, we present the current evidence for the role of endotherapy in the management of patients with chronic pancreatitis. äCurrent status of endotherapy for chronic pancreatitis (epmc).pdf DeepDyve Pubget Overpricing