Vogt W
Medizinische Klinik, Fachbereich Gastroenterologie, Städtische Kliniken Esslingen.
Praxis (Bern 1994). 1998 Nov 11;87(46):1558-62.
Interventional (non-surgical) therapy is a relative new approach in the management of chronic pancreatitis. Indications for endoscopic therapy are pseudocysts and strictures or stones of the main pancreatic duct. Endoscopic sphincterotomy, extraction of pancreatic duct stones, extracorporal shock-wave lithotripsy (ESWL), pancreatic duct stenting and drainage of pseudocysts are all methods with a high success rate but with a low complication rate. Therefore in patients with chronic pancreatitis and with a failure of conservative management interventional techniques have to be considered. They may be an alternative to surgical procedures.
介入（非手术）治疗是慢性胰腺炎治疗中一种相对较新的方法。内镜治疗的适应证为假性囊肿以及主胰管狭窄或结石。内镜括约肌切开术、胰管结石取出术、体外冲击波碎石术（ESWL）、胰管支架置入术和假性囊肿引流术都是成功率高但并发症发生率低的方法。因此，对于慢性胰腺炎且保守治疗失败的患者，必须考虑介入技术。它们可能是外科手术的替代方法。
