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Technique of endoscopic ultrasonography‐guided pancreatic duct intervention (with videos)
Author(s) -
Itoi Takao,
Yasuda Ichiro,
Kurihara Toshio,
Itokawa Fumihide,
Kasuya Kazuhiko
Publication year - 2014
Publication title -
journal of hepato‐biliary‐pancreatic sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 1868-6974
DOI - 10.1002/jhbp.43
Subject(s) - medicine , major duodenal papilla , pancreatic duct , endoscopic ultrasonography , endoscopic retrograde cholangiopancreatography , radiology , duodenum , anastomosis , stent , rendezvous , jejunum , endoscopy , pancreatitis , general surgery , surgery , engineering , spacecraft , aerospace engineering
To date, several endoscopic ultrasonography ( EUS )‐guided interventions have been reported. Of these interventions, EUS ‐guided pancreatic duct ( PD ) intervention seems to be the most difficult and challenging procedure to accomplish. We provide suggestions for EUS ‐guided PD intervention, which includes PD stenting and the rendezvous technique following EUS ‐guided pancreatography. PD stenting is performed between the PD and the gastrointestinal tract (stomach, duodenum, or jejunum). The rendezvous technique is performed using a guidewire across the papilla or anastomotic site for retrograde stent insertion. EUS ‐guided PD intervention is still challenging because it is not established yet. Thus, although EUS ‐guided PD intervention seems to be promising, it should be performed in selected patients such as those of failed standard endoscopic retrograde cholangiopancreatography.