THE CLINICAL STUDY ON ENDOSCOPIC PANCREATIC DRAINAGE IN CASES OF CHRONIC PANCREATITIS

Abstract

In order to improve pancreatic drainage, endoscopic pancreatic drainage (EPD) has been performed in 15 cases as a newly treatment method of chronic pancreatitis. EPD consists of pancreatic sphincterotomy, basket retrieval of calculi, and pancreatic endoprosthesis. Pancreatic sphincterotomy has been performed successfully in 12 of 15 cases, and followed basket retrieval stone in 2 cases, placement of pancreatic endoprosthesis in 3 cases. Through these newly procedures, clinical symptoms have been disappeared in 10 cases (83.3%) with improvement of pancreatic function. There have been no serious complications in our serieis, and moreover, we have recognized pathologically the security of pancreatic sphincterotomy by using the autopsy materials. It is concluded that endoscopic pancreatic drainage will be highly appreciated as a nonoperative treatment method of chronic pancreatitis.