EUS antegrade pancreatography with gastropancreatic duct stent placement: review of two cases

Kahaleh, Michel; Yoshida, Cynthia; Yeaton, Paul

doi:10.1016/s0016-5107(03)02297-1

Cited by 72 publications

(44 citation statements)

References 14 publications

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“…The initial approach was reported by Bataille et al who created a pancreaticoenteric fistula with antegrade wire passage to facilitate the subsequent rendezvous with retrograde stent insertion [9]. Subsequently, others provided drainage via creation of a pancreaticogastric fistula with antegrade stent insertion [8,[10][11][12][13][14][15][16][17][18]. EUSguided pancreaticoduodenostomy is a more recently described technique used in patients with either acute or chronic pancreatitis and allows access to the MPD from the duodenal bulb [12].…”

Section: Techniquementioning

confidence: 99%

“…These data suggest that patients may benefit from routine stent exchange, particularly if they require prolonged stent duration. [11,13] TP [7] Transluminal (n = 33) 33/36 Bleeding (n = 1) Acute pancreatitis (n = 1) Unspecified mild complication (n = 3) Will et al 2007 [22] Retrograde TP/TA (n = 4) Transluminal (n = 5)…”

Section: Technical Success Outcomes and Complicationsmentioning

confidence: 99%

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Endoscopic ultrasound‐guided pancreatic duct drainage

Fujii-Lau

Levy

2014

J Hepato Biliary Pancreat

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Endoscopic ultrasound (EUS) has evolved from a purely diagnostic procedure to one with therapeutic capabilities. One of the most challenging therapeutic intervention for endosonographers is EUS-guided pancreatic drainage. The development of this technique has allowed access and drainage of the main pancreatic duct after failed endoscopic retrograde pancreatography and can avoid invasive procedures such as surgical and percutaneous interventions. This review discusses the indications, technique, challenges, and an algorithmic approach to EUS-guided pancreatic drainage.

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Section: Techniquementioning

confidence: 99%

Section: Technical Success Outcomes and Complicationsmentioning

confidence: 99%

Endoscopic ultrasound‐guided pancreatic duct drainage

Fujii-Lau

Levy

2014

J Hepato Biliary Pancreat

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“…Discussion EUS-guided identification and puncture of the pancreatic duct with an enlarged calibre may circumvent the problem of an unreachable papilla of Vater, facilitate the introduction of a catheter into the papilla and allow further manipulation such as the insertion of a guide wire into the pancreatic duct (to achieve drainage of the retained or disrupted pancreatic duct [Will, 2008;Erickson, 2007;Shami and Kahaleh, 2007;Will et al 2007Will et al , 2005Kahaleh et al 2007Kahaleh et al , 2003Buscail et al 2006;Dewitt et al 2004;Mallery et al 2004;Francois et al 2002]). In agreement with the recent literature, the EUS-guided procedure represents the appropriate treatment option for several conditions.…”

Section: Resultsmentioning

confidence: 99%

Successful transgastric pancreaticography and endoscopic ultrasound-guided drainage of a disconnected pancreatic tail syndrome

Will

Fueldner

Goldmann

et al. 2011

Therap Adv Gastroenterol

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Abstract:Objectives: We aim to demonstrate that endoscopic ultrasound (EUS)-guided transgastric pancreaticography/drainage of the pancreatic duct is feasible and successful in healing a persisting pancreaticocutaneous fistula. Methods: By means of a case report, we describe the following alternative therapeutic procedure. A 76-year-old male had: (1) 10 surgical interventions because of necrotizing acute pancreatitis with a persisting pancreaticocutaneous fistula (volume 200300 ml/day); (2) an unsuccessful attempt of transpapillary drainage (disrupted duct after necrosectomy). He then underwent a EUS-guided transluminal pancreaticography/drainage of the pancreatic duct. A transgastric puncture was performed followed by, insertion of a guide wire into the dilated tail segment, and expansion of the gastropancreaticostomy using a 10-Fr retriever. A 10-Fr Amsterdam prosthesis was then placed through the guide wire. Results: The procedure was both a technical and clinical success as indicated by fistula occlusion and sufficient internal drainage of the pancreatic juice via the gastropancreaticostomy. No severe complications such as bleeding, perforation stent occlusion or migration were observed during the 15-month follow-up. Conclusions: Transgastric pancreaticography and EUS-guided drainage of the enlarged pancreatic duct are elegant and feasible alternative options for the treatment of specific pancreatic lesions such as persisting pancreaticocutaneous fistula (complication after necrotizing pancreatitis), after pancreatic resective surgery, chronic pancreatitis and anomaly of the congenital pancreatic or postoperative gastrointestinal anatomy. Moreover, the procedure may represent a valid tool to avoid surgery and more invasive interventions.

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“…For patient in whom conventional ERCP is not feasible or fails, access and decompression of the main pancreatic duct using EUS-guided pancreatography has increased the success for PD drainage [30][31][32][43][44][45] . This constitutes a minimally invasive alternative to surgery in patient with altered anatomy or severe stone burden not responding to ESWL.…”

Section: Pancreatic Stricturesmentioning

confidence: 99%

Endoscopic management of chronic pancreatitis

Oza

Kahaleh²

2013

WJGE

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Chronic pancreatitis (CP) is a common gastrointestinal illness, which affects the quality of life with substantial morbidity and mortality. The management includes medical, endoscopic and surgical approaches with the need for interaction between various specialties, calling for a concerted multidisciplinary approach. However, at the time of this publication, guidelines to establish care of these patients are lacking. This review provides the reader with a comprehensive overview of the studies summarizing the various treatment options available, including medical, surgical and endoscopic options. In addition, technological advances such as endoscopic retrograde cholangiopancreatogrophy, endoscopic shock wave lithotripsy and endoscopic ultrasound can now be offered with reasonable success for pancreatic decompression, stricture dilatation with stent placement, stone fragmentation, pseudocyst drainage, and other endoscopic interventions such as celiac plexus block for pain relief. We emphasize the endoscopic options in this review, and attempt to extract the most up to date information from the current literature. The treatment of CP and its complications are discussed extensively. Complications such as biliary strictures. pancreatic pseudocysts, and chronic pain are common issues that arise as long-term complications of CP. These often require endoscopic or surgical management and possibly a combination of approaches, however choosing amongst the various therapeutic and palliative modalities while weighing the risks and benefits, makes the management of CP challenging. Treatment goals should be not just to control symptoms but also to prevent disease progression. Our aim in this paper is to advocate and emphasize an evidence based approach for the management of CP and associated long term complications.

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EUS antegrade pancreatography with gastropancreatic duct stent placement: review of two cases

Cited by 72 publications

References 14 publications

Endoscopic ultrasound‐guided pancreatic duct drainage

Endoscopic ultrasound‐guided pancreatic duct drainage

Successful transgastric pancreaticography and endoscopic ultrasound-guided drainage of a disconnected pancreatic tail syndrome

Endoscopic management of chronic pancreatitis

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