PANCREATIC CALCULI AND RESULTING LESIONS.

Pancreatic Calculi

Endoscopic Treatment of Pancreatic Calculi

Chronic pancreatitis is a progressive inflammatory disease that destroys pancreatic parenchyma and alters ductal stricture, leading to ductal destruction and abdominal pain. Pancreatic duct stones (PDSs) are a common complication of chronic pancreatitis that requires treatment to relieve abdominal pain and improve pancreas function. Endoscopic therapy, extracorporeal shock wave lithotripsy (ESW...

Management of Pancreatic Calculi: An Update

Pancreatolithiasis, or pancreatic calculi (PC), is a sequel of chronic pancreatitis (CP) and may occur in the main ducts, side branches or parenchyma. Calculi are the end result, irrespective of the etiology of CP. PC contains an inner nidus surrounded by successive layers of calcium carbonate. These calculi obstruct the pancreatic ducts and produce ductal hypertension, which leads to pain, the...

Differentiating Pancreatic Cystic Lesions

Pancreatic cystic lesions (PCLs) may represent malignant or premalignant neoplasms and require diagnostic evaluation. Patient’s demographics and clinical presentation should be considered when diagnosing PCLs. Radiologically, location, ductal relation, external contour, wall, and septal enhancement give important clues for each type of lesion. Imaging features that suggest a high malignancy ris...

Pancreatic cystic Lesions

• Objective: To review the diagnosis and management of pancreatic cystic lesions. • Methods: Narrative review of the literature. • Results: Pancreatic cystic lesions are clinically relevant as some are precursor lesions to pancreatic adenocarcinoma. Mucinous cystic neoplasms and intraductal papillary mucinous neoplasms are 2 commonly encountered pre-cancerous pancreatic cysts. Many cysts are id...