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Analysis of the Effects of Stent Insertion and the Factors Related to Stent Retrieval in Chronic Pancreatitis Accompanying Main Pancreatic Duct Obstruction

Authors
 Chang Hoon Kim  ;  Seungmin Bang  ;  Si Young Song  ;  Seung Woo Park  ;  Jae Bock Chung  ;  Sung Pil Hong  ;  Tae Joo Jeon  ;  Jeong Youp Park  ;  Kyung Ho Song 
Citation
 GUT AND LIVER, Vol.1(1) : 63-67, 2007 
Journal Title
 GUT AND LIVER 
ISSN
 1976-2283 
Issue Date
2007
Abstract
BACKGROUND/AIMS: Obstruction of the main pancreatic duct (MPD) has been considered one of the major causes for pain in chronic pancreatitis (CP). In this study, we evaluated the efficacy of MPD stenting in painful CP, and tried to determine a guideline for stent removal. METHODS: Sixteen patients with painful CP who underwent MPD stenting were included. Follow up ERCP was performed 3 months after stenting in all patients. Stents were removed in patients who achieved pain relief, complete stone clearance, and decreased MPD diameter after 3 months. RESULTS: Before stenting, ERCP showed MPD stricture in 11 cases, MPD dilatation by stone in 1 case, concomitant stricture and stone in 4 cases. After stenting, complete pain relief was achieved in 13 patients (81.3%) and partial pain relief was achieved in 3 patient (18.7%). There was no patient whose pain was not relieved. Stents were removed in 7 patients who achieved pain relief, complete stone clearance, and decreased MPD diameter after 3 months. Decrease of MPD diameter was significantly greater in patient who could remove stent than those who could not (72.9% vs. 127.9% of initial MPD diameter, p=0.008). CONCLUSIONS: If partial or full pain relief is achieved after MPD stenting and follow up ERCP after 3 months shows decreased MPD diameter compared to the initial one, stent removal might be considered.
Files in This Item:
T200701091.pdf Download
DOI
10.5009/gnl.2007.1.1.63
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Chang Hoon(김창훈)
Park, Seung Woo(박승우) ORCID logo https://orcid.org/0000-0001-8230-964X
Park, Jeong Youp(박정엽) ORCID logo https://orcid.org/0000-0003-0110-8606
Bang, Seungmin(방승민) ORCID logo https://orcid.org/0000-0001-5209-8351
Song, Kyung Ho(송경호)
Song, Si Young(송시영) ORCID logo https://orcid.org/0000-0002-1417-4314
Jeon, Tae Joo(전태주) ORCID logo https://orcid.org/0000-0002-7574-6734
Chung, Jae Bock(정재복)
Hong, Sung Pil(홍성필)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/96061
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