surgery (open or minimally invasive) should be considered as first-line treatment in adults with painful chronic pancreatitis that is causing obstruction of the main pancreatic duct
consider extracorporeal shockwave lithotripsy for adults with pancreatic duct obstruction caused by a dominant stone if surgery is unsuitable
Reference:
NICE. Pancreatitis. NICE guideline NG104. Published September 2018, last updated December 2020
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