| Theme |
Role of Endoscopy in the Diagnosis and Treatments of Pancreatic Diseases |
| Title |
Indication and Technique of Endoscopic Pancreatic Sphincterotomy |
| Author |
Takao Itoi |
Department of Gastroenterology and Hepatology, Tokyo Medical University |
| Author |
Atsushi Sohuni |
Department of Gastroenterology and Hepatology, Tokyo Medical University |
| Author |
Fumihide Itokawa |
Department of Gastroenterology and Hepatology, Tokyo Medical University |
| Author |
Toshio Kurihara |
Department of Gastroenterology and Hepatology, Tokyo Medical University |
| Author |
Takayoshi Tsuchiya |
Department of Gastroenterology and Hepatology, Tokyo Medical University |
| Author |
Kentaro Ishii |
Department of Gastroenterology and Hepatology, Tokyo Medical University |
| Author |
Shujiro Tsuji |
Department of Gastroenterology and Hepatology, Tokyo Medical University |
| Author |
Nobuhito Ikeuchi |
Department of Gastroenterology and Hepatology, Tokyo Medical University |
| Author |
Fuminori Moriyasu |
Department of Gastroenterology and Hepatology, Tokyo Medical University |
| [ Summary ] |
EPST is a procedure to cut the pancreatic duct orifice of major or minor duodenal papilla. The primary objectives of this procedure are to endoscopically remove pancreatolithiasis and to produce spontaneous passage of the pancreatic stones after ESWL. This procedure can often be performed through decompression of the pancreatic duct, placement of a pancreatic stent in patients with chronic pancreatitis having pancreatic duct strictures, or for pre-treatment, employing largediameter peroral pancreatoscopy. When performing EPST, it is very important that endoscopists make an incision below the head of the transverse fold of the papilla at a 1 o'clock position to avoid hemorrhage, perforation, or pancreatitis. |