Optimal Timing of Endoscopic Intervention in the Treatment of Chronic Pancreatitis.

Launched by CHANGHAI HOSPITAL · Mar 7, 2022

Keywords

ClinConnect Summary

Chronic pancreatitis（CP）is a chronic progressive fibro-inflammatory disease of the pancreas induced by a wide range of factors including genetic and environmental elements, with recurrent abdominal pain and pancreatic secretion insufficiency as its major clinical signs. Chronic pancreatitis is not only a tough disease of the gastrointestinal system but also a worldwide medical problem. At present, the MESS (medicine-extracorporeal shock wave lithotripsy-endoscopic retrograde cholangiopancreatography-surgery）formed by changhai hospital in CP diagnosis and treatment is gradually becoming matu...

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Eligibility criteria

• Inclusion Criteria:
• • 1. symptomatic adult patients diagnosed with chronic pancreatitis and main pancreatic duct positive stones（\>5mm in diameter）
• • 2. no ERCP and ESWL history before the admission
• • 3. provides informed consent
• Exclusion Criteria:
• • 1. suspected to have malignant tumors;
• • 2. history of pancreatic surgery or gastrojejunostomy (Billroth II);
• • 3. with end-stage disease;
• • 4. with contraindications to ESWL or ERCP, such as pregnancy, abdominal aortic aneurysm, etc.
• • 5. acute pancreatitis within 3 days
• • 6. pancreatic ascites