Endoscopic Treatment of Pancreatic Disease

Question 1

LOCAL COMPLICATIONS OF ACUTE PANCREATITIS

Answer 1

peri-pancreatic fluid collections, pancreatic and peripancreatic necrosis (sterile or infected), and pseudocyst and walled-off necrosis (WON; sterile or infected).

Question 2

arise as a sequela of acute pancreatitis, require at least 4 weeks to encapsu- late, and are devoid of significant solid debris.

Answer 2

Acute pseudocysts

Question 3

Transpapillary Drainage

Answer 3

if the pseudocyst communicates with the main pancreatic duct, placement of a pancreatic duct stent with or without pancreatic sphincterotomy is effective, especially for smaller pseudocysts (<5 to 6 cm)

Question 4

Endoscopic Therapies for Chronic Pancreatitis

Answer 4

Pancreatic sphincterotomy
Extraction of pancreatic duct stones
Dilation of pancreatic duct strictures
Dilation of biliary strictures
Treatment of pancreatic duct leaks resulting in ascites or pleural
effusions
Drainage of pancreatic pseudocysts Placement of biliary and pancreatic stents