What is the current status of endoscopic and surgical procedures in the treatment of chronic pancreatitis? How do you assess the value of endoscopic techniques and surgery in the treatment of chronic pancreatitis? Talk about what are the new techniques and approaches to look forward to? The main approaches in the treatment of chronic pancreatitis are pancreatic enzyme replacement, endoscopic drainage and surgical resection. First, we will talk about the surgical treatment of chronic pancreatitis. The principle of surgical treatment of chronic pancreatitis is to relieve pain, correct complications and improve quality of life with the simplest possible surgical procedure, and to remove as little pancreatic parenchyma as possible to avoid diabetes and exocrine insufficiency. The main sign of successful treatment is the relief of pain or reduction in the frequency and extent of attacks. The key to treatment is early diagnosis, and if early and intermediate intervention may delay pancreatic parenchymal changes and protect endocrine and exocrine functions. Endoscopic retrograde cholangiopancreatography (E R C P )
and related techniques are widely available, providing new techniques and methods for the treatment of chronic pancreatitis. The main purpose of endoscopic treatment of chronic pancreatitis is pancreatic duct decompression, which includes: pancreatic duct sphincterotomy; pancreatic duct dilatation and pancreatic duct stent placement; extracorporeal shock wave lithotripsy and endoscopic pancreatic duct lithotripsy; pancreatic pseudocyst drainage; and endoscopic treatment of secondary biliary stenosis. Advantages: endoscopic interventions are relatively simple, minimally invasive, with short recovery time and precise efficacy, and are an effective means of treating C
P is an effective means of treatment.