Chronic pancreatitis (CP) is a rare disease in Western countries (incidence 2 to 10/100,000 per year). It ultimately leads to irreversible damage of the pancreas, with exocrine and endocrine insufficiency. In the majority of cases pain is the major clinical…
Background Over time, the role of endoscopic retrograde cholangiopancreatography (ERCP) in the setting of acute pancreatitis has evolved. Previously, ERCP was commonly used after resolution of an acute attack, or more commonly multiple attacks, in an attempt to define pancreatic…
Ampullary neoplasms (see Chapter 38 ) are rare, with an annual incidence of 3000 in the United States and a reported prevalence of 0.04% to 0.12% in autopsy series. Endoscopically the papilla can appear enlarged and abnormal because of various…
Pancreaticobiliary stenting is an efficacious and safe method to address biliary manifestations of benign and malignant disease. At present, indications for stent placement include palliative biliary decompression, adjunctive preoperative decompression, treatment of benign biliary and pancreatic strictures, refractory lithiasis, bile…