Endosonography-Guided Pancreatic Duct Drainage for Chronic Pancreatitis: A Case Report and Review | Zendy

Kei Ito | Zendy; Naotaka Fujita | Zendy; Yutaka Noda | Zendy; Go Kobayashi | Zendy; Takashi Obana | Zendy; Jun Horaguchi | Zendy; Shinsuke Koshita | Zendy; Yoshihide Kanno | Zendy

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Endosonography-Guided Pancreatic Duct Drainage for Chronic Pancreatitis: A Case Report and Review

Author(s) -

Kei Ito,

Naotaka Fujita,

Yutaka Noda,

Go Kobayashi,

Takashi Obana,

Jun Horaguchi,

Shinsuke Koshita,

Yoshihide Kanno

Publication year - 2010

Publication title -

diagnostic and therapeutic endoscopy

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.158

H-Index - 24

eISSN - 1029-0516

pISSN - 1026-714X

DOI - 10.1155/2010/517864

Subject(s) - medicine , pancreatic duct , pancreatitis , major duodenal papilla , epigastric pain , stent , duct (anatomy) , radiology , autoimmune pancreatitis , catheter , stenosis , pancreas , surgery , vomiting

A 50-year-old man was admitted to our department, complaining of epigastric pain and high fever. CT revealed a pseudocyst at the pancreatic head with upstream dilatation of the pancreatic duct (PD) and fluid collection surrounding the pancreas. Endosonography-guided PD drainage (ESPD) was performed because of unsuccessful ERCP. With a curved linear array echoendoscope, a 7.2 F catheter was placed in the PD. Laboratory data showed improvement in a few days and revealed disappearance of the fluid collection. Ten days after ESPD, a 7 F stent was placed in the PD via the puncture tract across the papilla of Vater followed by transpapillary replacement with a 10 F stent. CT showed a reduction in diameter of the PD and disappearance of the pseudocyst. ESPD is a feasible and useful procedure in selected patients with chronic pancreatitis showing stenosis of the main PD when transpapillary approach is impossible.

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