Ledro Cano D, Catalán Ramírez J M, González Mariscal M J, Romero Castro R, Pellicer Bautista F J, Herrerías J M
Unidad de Endoscopia, Servicio de Aparato Digestivo, Area Hospitalaria Virgen Macarena, Sevilla.
An Med Interna. 2002 Feb;19(2):69-72.
Chronic Pancreatitis is a recurrent disease, frequently alcohol intake related and tend to occur in the third and the fourth decades. Stenoses and lithiasis in the main pancreatic duct causes obstruction and subsequently pain. Therefore endoscopic or surgical decompression of main pancreatic duct results in pain relief.
Review our experience in the endoscopic management in patients suffering from chronic pancreatitis. 42 patients underwent ERCP for management of their chronic pancreatitis. Therapeutic options were sphincterotomy alone, prostheses and "do nothing". Follow-up was made by phone call and outpatient office visits. Mean follow-up was 47.8 (27.2) months.
22 patients underwent therapeutic ERCP. In 8 patients we performed sphincterotomy and in 14 patients, a sphincterotomy and prostheses intubation. 8 patients are asymptomatic after a mean follow-up of 10.8 (11.6) months. 2 of them, underwent sphincterotomy and six of them, underwent sphincterotomy and prostheses intubation.
Therapeutic ERCP is a tool that relieves pain in a fifth of patients suffering from chronic pancreatitis.
慢性胰腺炎是一种复发性疾病，常与酒精摄入有关，多见于三四十岁人群。主胰管狭窄和结石会导致梗阻，进而引发疼痛。因此，对主胰管进行内镜或手术减压可缓解疼痛。
回顾我们对慢性胰腺炎患者进行内镜治疗的经验。42例患者接受了内镜逆行胰胆管造影（ERCP）以治疗慢性胰腺炎。治疗方案包括单纯括约肌切开术、放置支架和“不做处理”。通过电话随访和门诊复诊进行随访。平均随访时间为47.8（27.2）个月。
22例患者接受了治疗性ERCP。8例患者进行了括约肌切开术，14例患者进行了括约肌切开术并放置支架。平均随访10.8（11.6）个月后，8例患者无症状。其中2例仅接受了括约肌切开术，6例接受了括约肌切开术并放置支架。
治疗性ERCP是一种可缓解五分之一慢性胰腺炎患者疼痛的治疗手段。
