Diagnosis treatment of chronic pancreatitis combinded with pancreatic duct stones        MIAO Yi,JIANG Kui-rong. Department of Surgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
Corresponding author:MIAO Yi,E-mail: miaoyi@njmu.edu.cn
Abstract    Chronic pancreatitis is a progressive fibroinflammatory disease with sustained damage of structure and function of pancreatic tissue, which results from a complex mix of causes (eg, alcohol, Biliary diseases), and often exists with intraductal calculi. Pain in the form of recurrent attacks of pancreatitis or constant and disabling pain is usually the main symptom. Steatorrhoea, diabetes, local complications associated with the disease are additional therapeutic challenges. Combined with a variety of imaging methods such as BUS, CT, ERCP and MRCP, etc. can significantly improve the diagnosis  of chronic pancreatitis with pancreatic duct stone. Chronic pancreatitis with pancreatic duct stones should be actively treated, of which the focus is to control symptoms, improve function and treatment of complications with individual therapy. The appropriate surgery should be performed as soon as possible according to distribution of stone when the stone removal is not complete or recrudescent after extracorporeal shock wave lithotripsy and endoscopic. completely removing the lesion, taking out all the stones, removing the pancreas and bile duct obstruction, fully drainage of pancreatic juice and trying to save the pancreatic tissues are the goal of the surgery, which can significantly improve quality of life of patients.