| Theme | Stenting for Digestive Diseases | |
|---|---|---|
| Title | Endoscopic Pancreatic Stenting for Benign Stricture of the Main Pancreatic Duct Concomitant with Chronic Pancreatitis | |
| Publish Date | 2019/09 | |
| Author | Susumu Iwasaki | Division of Gastroenterology and Hepatology, Toho University Omori Medical Center / Saiseikai Yokohamashi Tobu Hospital |
| Author | Yoshinori Igarashi | Division of Gastroenterology and Hepatology, Toho University Omori Medical Center |
| Author | Yusuke Kimura | Japan Labour Health and Welfare Organization Kanto Rosai Hospital |
| Author | Yuto Yamada | Division of Gastroenterology and Hepatology, Toho University Omori Medical Center |
| Author | Kouji Watanabe | Division of Gastroenterology and Hepatology, Toho University Omori Medical Center |
| Author | Kensuke Yoshimoto | Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital |
| Author | Kensuke Takuma | Division of Gastroenterology and Hepatology, Toho University Omori Medical Center |
| Author | Seiichi Hara | Division of Gastroenterology and Hepatology, Toho University Omori Medical Center |
| Author | Yuui Kishimoto | Division of Gastroenterology and Hepatology, Toho University Omori Medical Center |
| Author | Ken Ito | Division of Gastroenterology and Hepatology, Toho University Omori Medical Center |
| Author | Naoki Okano | Division of Gastroenterology and Hepatology, Toho University Omori Medical Center |
| [ Summary ] | Chronic pancreatitis is a progressive and irreversible inflammatory disease. Most patients present with pain, which requires treatment. It may be related to increased pressure within the ductal system because of obstruction of the main pancreatic duct. Fuji et al. reported the efficacy of endoscopic pancreatic stenting as a less invasive method of widening a stricture by placing a pancreatic stent in the main pancreatic duct. Endoscopic pancreatic stenting has been approved for medical health insurance coverage in 2012. Patients showing persistent ductal strictures folliowing 12 months of single pancreatic stent placement are recommended to undergo endoscopic placement of multiple pancreatic stents or surgical therapy. Recently, endoscopic ultrasound (EUS)‒guided pancreatic duct drainage has been described as a technique in patients undergoing unsuccessful endoscopic retrograde cholangiopancreatography (ERCP) and in those with stenotic pancreatodigestive anastomosis. Use of a self‒expandable, fully covered metallic stent is a novel therapeutic approach to treat severe refractory main pancreatic duct strictures. |
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