Korean J Intern Med.  2012 Mar;27(1):20-29. 10.3904/kjim.2012.27.1.20.

Update on Endoscopic Management of Main Pancreatic Duct Stones in Chronic Calcific Pancreatitis

• Choi EK
• Lehman GA

• KMID: 1776561
• DOI: http://doi.org/10.3904/kjim.2012.27.1.20

Abstract

Pancreatic duct stones are a common complication during the natural course of chronic pancreatitis and often contribute to additional pain and pancreatitis. Abdominal pain, one of the major symptoms of chronic pancreatitis, is believed to be caused in part by obstruction of the pancreatic duct system (by stones or strictures) resulting in increasing intraductal pressure and parenchymal ischemia. Pancreatic stones can be managed by surgery, endoscopy, or extracorporeal shock wave lithotripsy. In this review, updated management of pancreatic duct stones is discussed.

Keyword

Pancreatitis, chronic; Calculi; Endoscopy; Lithotripsy; Surgery

MeSH Terms

Abdominal Pain/etiology
Balloon Dilation
Calcinosis/complications/diagnosis/physiopathology/surgery/*therapy
Calculi/diagnosis/etiology/physiopathology/surgery/*therapy
*Endoscopy/instrumentation
Evidence-Based Medicine
Humans
Lithotripsy
Pancreatic Ducts/physiopathology/*surgery
Pancreatitis, Chronic/complications/diagnosis/physiopathology/surgery/*therapy
Sphincterotomy, Endoscopic
Stents
Treatment Outcome