The role of ERCP in the diagnosis and treatment of chronic pancreatitis

doi:10.16139/j.1007-9610.2023.04.002

Abstract

Abstract:

Chronic pancreatitis (CP) is a chronic progressive disease that causes varying degrees of functional damage on pancreatic endocrine and exocrine, seriously affecting the quality of life of the patients. Endoscopic retrograde cholangio-pancreatography (ERCP) with minimal trauma, high safety, and good efficacy has become a first-line treatment method for CP. ERCP is a first-line treatment method for pancreatic duct stones and pancreatic duct stricture, and complications of CP.

Key words: Chronic pancreatitis, Endoscopic treatment, Endoscopic retrograde cholangio-pancreatography, Pancreatic duct stone, Pancreatic duct stricture

CLC Number:

ZHANG Ling, ZOU Duowu. The role of ERCP in the diagnosis and treatment of chronic pancreatitis[J]. Journal of Surgery Concepts & Practice, 2023, 28(04): 283-287.

References 25

[1]	SWENSSON J, AKISIK F, COLLINS D, et al. Is Cambridge scoring in chronic pancreatitis the same using ERCP and MRCP? A need for revision of standards[J]. Abdom Radiol (NY), 2021, 46(2):647-654.
[2]	MANN R, BOREGOWDA U, VYAS N, et al. Current advances in the management of chronic pancreatitis[J]. Dis Mon, 2021, 67(12):101225. doi: 10.1016/j.disamonth.2021.101225 URL
[3]	中国医师协会胰腺病专业委员会慢性胰腺炎专委会. 慢性胰腺炎诊治指南(2018, 广州)[J]. 胃肠病学和肝病学杂志, 2018, 27(12):1321-1328.
	Chronic Pancreatitis Group of Pancreatic Disease Committee of Chinese Medical Doctor Association. Guideline for the diagnosis and treatment of chronic pancreatitis (2018, Guangzhou)[J]. Chin J Gastroenterol Hepatology, 2018, 27(12):1321-1328.
[4]	孙骥, 邰升. 胰腺分裂症的诊断与治疗进展[J]. 肝胆胰外科杂志, 2014, 26(2):173-176.
	SUN J, TAI S. Progress in diagnosis and treatment of pancreatic schizophrenia[J]. J Hepatopancreatobiliary Surg, 2014, 26(2):173-176.
[5]	张占田, 杜祖超, 李鑫健, 等. 胰腺分裂症的研究与诊疗进展[J]. 中华胰腺病杂志, 2021, 21(4):309-313.
	ZHANG Z T, DU Z C, LI X J, et al. Research and progress in diagnosis and treatment of pancreatic schizophrenia[J]. Chin J Pancreatology, 2021, 21(4):309-313.
[6]	中华医学会消化内镜学分会, 中国医师协会内镜医师分会, 北京医学会消化内镜学分会. 中国胰瘘消化内镜诊治专家共识(2020, 北京)[J]. 临床肝胆病杂志, 2021, 37(4):803-808.
	Chinese Society of Digestive Endoscopology, Chinese Endoscopist Association, Beijing Medical Association of Digestive Endoscopology. Chinese expert consensus on the endoscopic diagnosis and treatment for pancreatic fistula (2020, Beijing)[J]. J Clin Hepatology, 2021, 37(4):803-808.
[7]	COSTAMAGNA G, MUTIGNANI M, INGROSSO M, et al. Endoscopic treatment of postsurgical external pancreatic fistulas[J]. Endoscopy, 2001, 33(4):317-322. doi: 10.1055/s-2001-13695 pmid: 11315892
[8]	BAO W, WU D, HAN W, et al. Efficacy of different pancreatic interventional treatments for chronic calcific pancreatitis: a two-year multicenter retrospective study[J]. Int J Gen Med, 2022, 15:7511-7521. doi: 10.2147/IJGM.S383780 pmid: 36187161
[9]	GUO J Y, QIAN Y Y, SUN H, et al. Optimal timing of endoscopic intervention after extracorporeal shock-wave lithotripsy in the treatment of chronic calcified pancreatitis[J]. Pancreas, 2021, 50(4):633-638. doi: 10.1097/MPA.0000000000001810 URL
[10]	GUZMÁN-CALDERÓN E, MARTINEZ-MORENO B, CASELLAS J A, et al. Per-oral pancreatoscopy-guided lithotripsy for the endoscopic management of pancreatolithiasis: a systematic review and meta-analysis[J]. J Dig Dis, 2021, 22(10):572-581. doi: 10.1111/cdd.v22.10 URL
[11]	VAN DER WIEL S E, STASSEN P M C, POLEY J W, et al. Pancreatoscopy-guided electrohydraulic lithotripsy for the treatment of obstructive pancreatic duct stones: a prospective consecutive case series[J]. Gastrointest Endosc, 2022, 95(5):905-914. doi: 10.1016/j.gie.2021.11.047 URL
[12]	DUMONCEAU J M, DELHAYE M, TRINGALI A, et al. Endoscopic treatment of chronic pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) guideline -updated August 2018[J]. Endoscopy, 2019, 51(2):179-193. doi: 10.1055/a-0822-0832 URL
[13]	STRAND D S, LAW R J, YANG D, et al. AGA clinical practice update on the endoscopic approach to recurrent acute and chronic pancreatitis: expert review[J]. Gastroenterology, 2022, 163(4):1107-1114. doi: 10.1053/j.gastro.2022.07.079 URL
[14]	SOFI A A, KHAN M A, AHMAD S, et al. Comparison of clinical outcomes of multiple plastic stents and covered metal stent in refractory pancreatic ductal strictures in chronic pancreatitis - a systematic review and meta-analysis[J]. Pancreatology, 2021, 21(5):854-861. doi: 10.1016/j.pan.2021.03.017 URL
[15]	边颖, 杨建锋. 慢性胰腺炎的内镜治疗研究进展[J]. 中华胰腺病杂志, 2022, 22(5):388-392.
	BIAN Y, YANG J F. Research progress in endoscopic treatment of chronic pancreatitis[J]. Chin J Pancreatology, 2022, 22(5):388-392.
[16]	KRAFFT M R, CROGLIO M P, JAMES TW, et al. Endoscopic endgame for obstructive pancreatopathy: outcomes of anterograde EUS-guided pancreatic duct drainage. A dual-center study[J]. Gastrointest Endosc, 2020, 92(5):1055-1066. doi: 10.1016/j.gie.2020.04.061 pmid: 32376334
[17]	KRISHNAMOORTHI R, ROSS A. EUS-directed pancrea-tic duct drainage: mainstream miracle or proceed with caution?[J]. Gastrointest Endosc, 2020, 92(5):1067-1069. doi: 10.1016/j.gie.2020.05.053 URL
[18]	SEICEAN A, VULTUR S. Endoscopic therapy in chronic pancreatitis: current perspectives[J]. Clin Exp Gastroenterol, 2014, 8:1-11.
[19]	俞哲仁, 胡良皞, 王丹. 慢性胰腺炎并发胰腺假性囊肿的诊治进展[J]. 中华胰腺病杂志, 2023, 23(1):68-72.
	YU Z R, HU L H, WANG D. Progress in diagnosis and treatment of chronic pancreatitis complicated with pancreatic pseudocyst[J]. Chin J Pancreatology, 2023, 23(1):68-72.
[20]	CRAIG P I. Role of endoscopic stenting for biliary strictures in chronic pancreatitis[J]. Dig Endosc, 2012, 24(Suppl 1):38-42. doi: 10.1111/den.2012.24.issue-s1 URL
[21]	BARON T H. Covered self-expandable metal stents for benign biliary tract diseases[J]. Curr Opin Gastroenterol, 2011, 27(3):262-267. doi: 10.1097/MOG.0b013e3283438a26 URL
[22]	DUMONCEAU J M, TRINGALI A, BLERO D, et al. Bi-liary stenting: indications, choice of stents and results: European Society of Gastrointestinal Endoscopy (ESGE) clinical guideline[J]. Endoscopy, 2012, 44(3):277-298. doi: 10.1055/s-00000012 URL
[23]	SIIKI A, HELMINEN M, SAND J, et al. Covered self-expanding metal stents may be preferable to plastic stents in the treatment of chronic pancreatitis-related bi-liary strictures: a systematic review comparing 2 methods of stent therapy in benign biliary strictures[J]. J Clin Gastroenterol, 2014, 48(7):635-643. doi: 10.1097/MCG.0000000000000020 URL
[24]	RAMCHANDANI M, LAKHTAKIA S, COSTAMAGNA G, et al. Fully covered self-expanding metal stent vs. multiple plastic stents to treat benign biliary strictures se-condary to chronic pancreatitis: a multicenter randomized trial[J]. Gastroenterology, 2021, 161(1):185-195. doi: 10.1053/j.gastro.2021.03.015 URL
[25]	KITANO M, GRESS T M, GARG P K, et al. International consensus guidelines on interventional endoscopy in chronic pancreatitis. Recommendations from the working group for the international consensus guidelines for chronic pancreatitis in collaboration with the International Association of Pancreatology, the American Pancreatic Association, the Japan Pancreas Society, and European Pancreatic Club[J]. Pancreatology, 2020, 20(6):1045-1055. doi: S1424-3903(20)30192-7 pmid: 32792253