A Novel Endoscopic Papillectomy After a Pancreatic Stent Placement Above the Pancreatic Duct Orifice

Abstract

IPSP is a practicable method allowing reliable post-EP pancreatic stenting and can contribute to pancreatitis prevention. However, larger studies need to be performed before its use can be recommended.

Expert consensus on endoscopic papillectomy using a Delphi process

“…[39][40][41][42] However, it remains unclear if injecting the PD before resection would be helpful in finding the PD after resection (44%) (Table 3). 43,44 Moreover, there was no consensus regarding the use of a PD stent with or without an internal flap (46% vs 54%) (Supplementary Tables 1-2). No consensus exists that pancreas divisum should be routinely excluded before resection (65%) (Supplementary Table 2).…”

Recent Advances in Endoscopic Papillectomy for Ampulla of Vater Tumors: Endoscopic Ultrasonography, Intraductal Ultrasonography, and Pancreatic Stent Placement

“…Therefore, quite a few studies examined methods of facilitating pancreatic stent placement ( Table 1 ). 4 , 43 , 47 , 48 , 49 , 50 , 51 …”

“…To ensure reliable post-EP pancreatic stent placement, a method for placement above the pancreatic duct orifice (inside pancreatic stenting papillectomy) was devised and used in a prospective 10-patient pilot study. 50 A 5 Fr, 5 cm straight plastic stent with flaps at the proximal and distal ends was used. The flap at the proximal end was cutoff and 4-cm-long braided medical silk was tied to the distal end.…”

A case of endoscopic minor duodenal papillectomy after pancreatic stent placement using an endoscopic ultrasonography-guided rendezvous method

“… 1 We used the inside pancreatic stenting papillectomy method to insert a p-PS. 2 The inside pancreatic stenting papillectomy method may be used to ensure successful p-PS insertion. This method involves placement of a p-PS tied to a suture above the papilla before endoscopic papillectomy.…”