Open AccessEUS-guided pancreatic ductal intervention: A comprehensive literature review
Author(s) -
Zarak Khan,
Umar Hayat,
Sharareh Moraveji,
Douglas G. Adler,
Ali A. Siddiqui
Publication year - 2021
Publication title -
endoscopic ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.883
H-Index - 24
eISSN - 2303-9027
pISSN - 2226-7190
DOI - 10.4103/eus.eus_67_20
Subject(s) - medicine , pancreatic duct , pancreatitis , general surgery , whipple procedure , anastomosis , acute pancreatitis , pancreatic cancer , surgery , pancreaticoduodenectomy , resection , cancer
EUS has opened a new frontier in endoscopic techniques for accessing pancreatic ducts in patients with failed ERCP. The major indications of EUS-guided pancreatic duct intervention (EUS-PDI) are main pancreatic duct (MPD) strictures due to chronic pancreatitis or strictures of pancreaticojejunal or pancreaticogastric anastomosis after Whipple resection, which lead to recurrent acute pancreatitis. EUS-guided pancreaticogastro or duodenostomy offers an alternative to surgery when transpapillary drainage fails or is not possible. We provide an expert commentary and a brief overview on this relatively novel technique utilizing EUS-PDI creation in patients with impaired drainage of the MPD who have failed other conventional endoscopic techniques for MPD drainage and either are poor surgical candidates or are reluctant to undergo surgery.