Tratamiento endoscópico en la pancreatitis crónica: seguimiento a largo plazo

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 trea...

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Autores principales:	Díaz,Alex, Yunge,Paola, Urzúa,Álvaro, Berger,Zoltán
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2015
Materias:	Laparoscopy Pancreatitis, chronic Pain
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015000900004
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spelling	oai:scielo:S0034-988720150009000042015-10-22Tratamiento endoscópico en la pancreatitis crónica: seguimiento a largo plazoDíaz,AlexYunge,PaolaUrzúa,ÁlvaroBerger,Zoltán Laparoscopy Pancreatitis, chronic Pain 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. Aim: To evaluate the indication, immediate and long-term results of ET in CP patients. Patients and 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.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.143 n.9 20152015-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015000900004es10.4067/S0034-98872015000900004
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Laparoscopy Pancreatitis, chronic Pain
spellingShingle	Laparoscopy Pancreatitis, chronic Pain Díaz,Alex Yunge,Paola Urzúa,Álvaro Berger,Zoltán Tratamiento endoscópico en la pancreatitis crónica: seguimiento a largo plazo
description	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. Aim: To evaluate the indication, immediate and long-term results of ET in CP patients. Patients and 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.
author	Díaz,Alex Yunge,Paola Urzúa,Álvaro Berger,Zoltán
author_facet	Díaz,Alex Yunge,Paola Urzúa,Álvaro Berger,Zoltán
author_sort	Díaz,Alex
title	Tratamiento endoscópico en la pancreatitis crónica: seguimiento a largo plazo
title_short	Tratamiento endoscópico en la pancreatitis crónica: seguimiento a largo plazo
title_full	Tratamiento endoscópico en la pancreatitis crónica: seguimiento a largo plazo
title_fullStr	Tratamiento endoscópico en la pancreatitis crónica: seguimiento a largo plazo
title_full_unstemmed	Tratamiento endoscópico en la pancreatitis crónica: seguimiento a largo plazo
title_sort	tratamiento endoscópico en la pancreatitis crónica: seguimiento a largo plazo
publisher	Sociedad Médica de Santiago
publishDate	2015
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015000900004
work_keys_str_mv	AT diazalex tratamientoendoscopicoenlapancreatitiscronicaseguimientoalargoplazo AT yungepaola tratamientoendoscopicoenlapancreatitiscronicaseguimientoalargoplazo AT urzuaalvaro tratamientoendoscopicoenlapancreatitiscronicaseguimientoalargoplazo AT bergerzoltan tratamientoendoscopicoenlapancreatitiscronicaseguimientoalargoplazo
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Tratamiento endoscópico en la pancreatitis crónica: seguimiento a largo plazo

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