VSE knjižnice (vzajemna bibliografsko-kataložna baza podatkov COBIB.SI)
  • Endoscopic therapy of chronic pancreatitis
    Mlinarič, Vladimir, 1948-
    The incidence of chronic pancreatitis (CP) in Western civilization ranges between 5 and 10 per 100,000 inhabitants. The most common cause is chronic alcohol abuse. The diagnosis of CP is confirmed by ... ultrasonography (US) or computer tomography (CT) and/or magnetic resonance cholangiopancreatography (MRCP). To date, endoscopic retrograde cholangiopancreatography (ERCP) has been the gold standard in diagnosing ductal irregularities in moderate and severe CP. Endoscopic ultrasonography (EUS) might be a more sensitive imaging method in detecting early lesions of CP. Enodscopic pancreatic sphincterotomy (EPS) can be the definite treatment in some patients (e.g. sphincter of Oddi dysfunction, papillary stenosis, pancreas divisum). In most patients, it represents the initial procedure followed by other techniques. Pancreatic ductstones can be removed by a special Dormia basket in combination with mechanical lithotripsy, by balloon catheter, extracorporeal shock wave lithotripsy (ESWL) or intracorporeal shock wave lithotripsy ISWL (electrohydraulic or laser-induced). Over the past 10 years, many endoscopic drainage procedures were established. In case of single stricture, endoscopic balloon dilation or bougienage might be helpful. In most of the patients selected for endoscopic drainage, the insertion of a pancreatic plastic stent is mandatory. Indications for endoscopic therapy of stenosed common bile duct due to CP are obstructive jaundice and cholangitis. Plastic stent is a temporary solution before surgical therapy. Self-expandable metal mesh stents can be an alternative to surgical treatment in the selected group of patients with CP and biliary stenosis. Treatment of pancreatic pseudocysts is recommended if they are larger than 5 - 6 cm in diameter (increasing risk of cyst rupture or infection), or if they are suspected to cause local complications. (Abstract truncated at 2000 characters).
    Vir: Gastroenterolog : revija Slovenskega združenja za gastroenterologijo in hepatologijo = journal of Slovenian Association for Gastroenterology and Hepatology. - ISSN 1408-2756 (Letn. 7, št. 1, June 2003, str. 41-45)
    Vrsta gradiva - članek, sestavni del
    Leto - 2003
    Jezik - angleški
    COBISS.SI-ID - 16879321

Vnos na polico