Aparato Digestivo, Complejo Hospitalario de Navarra, España.
Rev Esp Enferm Dig. 2021 Aug;113(8):602-609. doi: 10.17235/reed.2020.7372/2020.
Endoscopic treatment of local complications in patients with chronic pancreatitis has gained ground over the surgical alternative in the last few years. The lower aggressiveness of endoscopic treatment, as well as the possibility to use it repeatedly in high-risk patients, has favored this development. In addition, the incorporation of new, highly accurate endoscopic therapeutic options such as pancreatoscopy-guided lithotripsy and endoscopic ultrasound-guided treatments make endoscopic treatment the first choice in many cases, despite discordant data in the literature. This article reviews the endoscopic treatment of the most common local complications of chronic pancreatitis, such as pancreatolithiasis, pseudocysts, and pancreatic, biliary, and duodenal ductal stenosis.
近年来，内镜治疗慢性胰腺炎局部并发症的地位已经超过了手术治疗。内镜治疗的侵袭性较低，且可在高危患者中反复使用，这一优势促进了其发展。此外，新的、高度精确的内镜治疗选择（如胰管镜引导下的碎石术和内镜超声引导下的治疗）的应用也使得内镜治疗成为许多情况下的首选，尽管文献中存在不一致的数据。本文回顾了内镜治疗慢性胰腺炎最常见的局部并发症的方法，如胰石症、假性囊肿以及胰、胆、十二指肠导管狭窄。
