Summary
Over the last few years, a new method, neither medical nor surgical, has been developed
for treating often difficult-to-treat chronic pancreatitis. In the case of obstructive
pancreatitis, endoscopy permits both drainage and calculus extraction. Even encrusted
concrements and calcifications can be removed from the pancreatic duct with the aid
of extracorporeal shockwave lithotripsy. The first aim is to relieve pain by restoring
a free flow of secretion. Perhaps the use of endoscopic treatment in the early stages
will break the vicious circle of chronic inflammation and ulilmate gland destruction.
Key words:
Obstructive pancreatitis - Endoscopic drainage - Lithotripsy