Role of ERCP SpyGlass Electrohydraulic Lithotripsy in Patients with Chronic Pancreatitis and Pancreatic Duct Calculi Causing Duct Obstruction: A Case Series

2016 ◽  
Vol 111 ◽  
pp. S1324
Author(s):  
Laura Hamad ◽  
Hafiz Muhamamd Sharjeel Arshad ◽  
Kamran Ayub ◽  
Taylor Aldridge ◽  
Nayab Ahsan
Keyword(s):  
Chronic Pancreatitis ◽  
Pancreatic Duct ◽  
Case Series ◽  
Duct Obstruction ◽  
Electrohydraulic Lithotripsy

scholarly journals Pancreaticojejunostomy For Severe Symptomatic Chronic Pancreatitis

HPB Surgery ◽  
1992 ◽  
Vol 5 (2) ◽  
pp. 117-122 ◽  
Author(s):  
G. W. L. Denton ◽  
W. A. Brough ◽  
D. E. F. Tweedle
Keyword(s):  
Abdominal Pain ◽  
Chronic Pancreatitis ◽  
Pancreatic Duct ◽  
Organ Failure ◽  
Indication For Operation ◽  
Duct Obstruction ◽  
Pancreatic Duct Obstruction ◽  
Relieve Pain ◽  
Pancreatic Exocrine

The role of operation, particularly pancreaticojejunostomy, in the treatment of abdominal pain from chronic pancreatitis is controversial, but relief of pancreatic duct obstruction may decrease the rate of pancreatic organ failure. Our results over 6 years in 13 carefully selected patients suggest that pancreatic drainage does relieve pain but is less effective in preventing pancreatic exocrine failure. Pain was the indication for operation in all patients.

Overlap and cumulative effects of pancreatic duct obstruction, abnormal pain processing and psychological distress on patient-reported outcomes in chronic pancreatitis

Gut ◽  
2021 ◽  
pp. gutjnl-2021-325855
Author(s):  
Søren S Olesen ◽  
Anna E Phillips ◽  
Mahya Faghih ◽  
Louise Kuhlmann ◽  
Emily Steinkohl ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Chronic Pancreatitis ◽  
Pancreatic Duct ◽  
Pain Processing ◽  
Related Factors ◽  
Duct Obstruction ◽  
Pancreatic Duct Obstruction ◽  
Pain Catastrophising ◽  
Patient Reported

ObjectiveSeveral factors have been suggested to mediate pain in patients with chronic pancreatitis. However, it is unknown whether these factors are overlapping and if they have cumulative effects on patient-reported outcomes (PROs).DesignWe performed a multicentre cross-sectional study of 201 prospectively enrolled subjects with definitive chronic pancreatitis. All subjects underwent evaluation for pancreatic duct obstruction, abnormalities in pain processing using quantitative sensory testing, and screening for psychological distress (anxiety, depression and pain catastrophising) based on validated questionnaires. Abnormality was defined by normal reference values. PROs included pain symptom severity (Brief Pain Inventory short form) and quality of life (EORTC-QLQ-C30 questionnaire). Associations between pain-related factors and PROs were investigated by linear trend analyses, multiple regression models and mediation analyses.ResultsClinical evaluation suggestive of pancreatic duct obstruction was observed in 29%, abnormal pain processing in 23%, anxiety in 47%, depression in 39% and pain catastrophising in 28%; each of these factors was associated with severity of at least one PRO. Two or more factors were present in 51% of subjects. With an increasing number of factors, there was an increase in pain severity scores (p<0.001) and pain interference scores (p<0.001), and a reduction in quality of life (p<0.001). All factors had independent and direct effects on PROs, with the strongest effect size observed for psychological distress.ConclusionPain-related factors in chronic pancreatitis are often present in an overlapping manner and have a cumulative detrimental effect on PROs. These findings support a multidisciplinary strategy for pain management.Trial registration numberThe study was registered with ClinicalTrials.gov (NCT03434392).

Role of pancreatic duct stenting in the treatment of chronic pancreatitis

2004 ◽  
Vol 18 (10) ◽  
pp. 1431-1434 ◽  
Author(s):  
G. C. Vitale ◽  
K. Cothron ◽  
E. A. Vitale ◽  
N. Rangnekar ◽  
C. M. Zavaleta ◽  
...  
Keyword(s):  
Chronic Pancreatitis ◽  
Pancreatic Duct ◽  
Pancreatic Duct Stenting

scholarly journals The Role of Endoscopic and Surgical Treatment in Chronic Pancreatitis

2020 ◽  
Vol 109 (1) ◽  
pp. 69-78 ◽  
Author(s):  
M. Udd ◽  
L. Kylänpää ◽  
A. Kokkola
Keyword(s):  
Chronic Pancreatitis ◽  
Pancreatic Duct ◽  
Hospital Admissions ◽  
Endoscopic Therapy ◽  
Treatment Options ◽  
Biliary Duct ◽  
Heavy Alcohol Consumption ◽  
Pancreatic Duct Stone

Chronic pancreatitis is a long-term illness leading to hospital admissions and readmission. This disease is often caused by heavy alcohol consumption and smoking. Patients with chronic pancreatitis suffer from acute or chronic pain episodes, recurrent pancreatitis, and complications, such as pseudocysts, biliary duct strictures, and pancreatic duct fistulas. Pancreatic duct strictures and stones may increase intraductal pressure and cause pain. Endoscopic therapy is aiming at decompressing the pressure and relieving the pain, most commonly with pancreatic duct stents and pancreatic duct stone retrieval. Early surgery is another option to treat the pain. In addition, endotherapy has been successful in treating complications related to chronic pancreatitis. The therapy should be individually chosen in a multidisciplinary meeting. Endoscopic therapy and surgery as treatment options for chronic pancreatitis are discussed in this review.

scholarly journals Sites of Pancreatic Duct Obstruction in Chronic Pancreatitis

1959 ◽  
Vol 150 (1) ◽  
pp. 49-56 ◽  
Author(s):  
ALAN P. THAL ◽  
BERNARD GOOTT ◽  
ALEXANDER R. MARCULIS
Keyword(s):  
Chronic Pancreatitis ◽  
Pancreatic Duct ◽  
Duct Obstruction ◽  
Pancreatic Duct Obstruction
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