ASGE International Sampler (On-Demand) | 2024-Endoscopic treatment of chronic pancreatitis

Pdf Summary

The document delves into the endoscopic treatment of chronic pancreatitis, focusing on strategies to alleviate pain and reduce pancreatic pressure. It emphasizes the importance of proper patient selection and indication for endoscopic procedures, highlighting the need for continuous learning to understand when not to proceed with a procedure. The text references clinical trials that compare endoscopic and surgical interventions for pancreatic duct obstruction in chronic pancreatitis, ultimately suggesting that surgery may offer more effective long-term pain relief with fewer procedures. Recent studies like the ESCAPE Clinical Trial also suggest that early surgery yields better pain scores compared to an endoscopy-first approach. The document provides case presentations and recommendations for managing stones and strictures in chronic calcific pancreatitis, emphasizing the importance of understanding the underlying etiology for effective treatment. Ultimately, the text advocates for a personalized approach to treatment, with surgery often being preferred for complex stone disease and endoscopy for strictures, with local expertise being a critical factor in decision-making.

Asset Subtitle

Timothy B. Gardner, MD

Keywords

endoscopic treatment

chronic pancreatitis

pain relief

pancreatic pressure

patient selection

clinical trials

surgical interventions

ESCAPE Clinical Trial

stones and strictures

personalized treatment