ASGE Annual Postgraduate Course Endoscopy 2022: Breakthrough to Excellence | DDW 2022-Endotherapy in Chronic Pancreatitis: How and when can we make an impact?

Endotherapy in Chronic Pancreatitis: How and when can we make an impact?

Video Transcription

Video Summary

In this video, Dr. Raj Shah from the University of Colorado discusses endotherapy and chronic pancreatitis, focusing on determining the etiology, including genetic testing, and the importance of ceasing alcohol consumption before commencing therapy. Dr. Shah also emphasizes the need for motivated patients to minimize or avoid narcotics, and the use of various pain management options, such as NSAIDs and celiac plexus block. He discusses the management of strictures in chronic pancreatitis, utilizing stents and fully covered metal stents for biliary strictures. Dr. Shah also talks about the treatment of pancreatic stones through fragmentation and lithotripsy using ERCP or ESWL. He highlights the importance of treating downstream structures to prevent stone recurrence. Lastly, he discusses the utilization of pancreatoscopy in preserving the pancreas and improving symptoms in patients with chronic calcific pancreatitis.

Asset Subtitle

Raj J. Shah, MD, MASGE

Keywords

endotherapy

chronic pancreatitis

genetic testing

pain management

pancreatic stones