ASGE Annual Postgraduate Course Endoscopy 2022 (On-Demand): Breakthrough to Excellence-Shah_ASGE PG Course Endoscopic Management of CP

Shah_ASGE PG Course Endoscopic Management of CP

Pdf Summary

This document discusses the use of endotherapy in chronic pancreatitis and how it can make an impact on patient outcomes. The author suggests several approaches to achieve this impact, including determining the underlying cause of chronic pancreatitis, cessation of alcohol and tobacco use, and assessing the patient's motivation to minimize or avoid narcotics. The author also discusses the use of endoscopic procedures such as ERCP and EUS to diagnose and treat complications of chronic pancreatitis, such as strictures and pseudocysts. ESGE guidelines are referenced to provide evidence-based recommendations for the management of these complications. The document also addresses the treatment of pancreatic stones, including the use of ESWL and ERCP for fragmentation and clearance of stones. The author mentions the use of neuromodulators and pancreas-preservation POP-laser stricturoplasty as potential treatment options for patients with non-obstructive painful chronic pancreatitis. A clinical case with multiple calcifications is presented to illustrate the discussed concepts. Overall, the document emphasizes the importance of a comprehensive approach to endotherapy in improving outcomes for patients with chronic pancreatitis.

Keywords

endotherapy

chronic pancreatitis

patient outcomes

alcohol cessation

endoscopic procedures

ERCP

EUS

complications

pancreatic stones

neuromodulators