Endoscopic Retrograde Cholangiopancreatography for Management of Chronic Pancreatitis

Gastrointest Endosc Clin N Am. 2024 Jul;34(3):449-473. doi: 10.1016/j.giec.2024.02.004. Epub 2024 Mar 19.

Abstract

Management of symptomatic chronic pancreatitis (CP) has shifted its approach from surgical procedures to minimally invasive endoscopic procedures. Increased experience and advanced technology have led to the use of endoscopic retrograde cholangiopancreatography (ERCP) as a therapeutic tool to provide pain relief and treat CP complications including pancreatic stones, strictures, and distal biliary strictures, pseudocysts, and pancreatic duct fistulas. In this article the authors will discuss the use of ERCP for the management of CP, its complications, recent advancements, and techniques from the most up to date literature available.

Keywords: Chronic pancreatitis; Endoscopic retrograde cholangiopancreatography; Extracorporeal shock wave lithotripsy; Pancreatic stones; Pancreatic strictures; Pancreatoscopy-guided lithotripsy.

Publication types

  • Review

MeSH terms

  • Cholangiopancreatography, Endoscopic Retrograde* / methods
  • Constriction, Pathologic / etiology
  • Constriction, Pathologic / surgery
  • Constriction, Pathologic / therapy
  • Humans
  • Pancreatic Pseudocyst / diagnostic imaging
  • Pancreatic Pseudocyst / surgery
  • Pancreatic Pseudocyst / therapy
  • Pancreatitis, Chronic* / complications
  • Pancreatitis, Chronic* / surgery
  • Pancreatitis, Chronic* / therapy
  • Sphincterotomy, Endoscopic / methods
  • Stents