EUS-Guided Pancreatic Duct Cannulation

Abstract

Endoscopic ultrasound-guided pancreatic duct drainage is an emerging endoscopic procedure to provide access to and enable interventions in the main pancreatic duct for patients with failed ERCP or with surgically altered anatomy. It is now considered a valid alternative to percutaneous or surgical interventions. Nonetheless, it is technically demanding and carries a notable risk for complications. Appropriate patient selection, careful evaluation of the indication and contraindications, and execution by highly experienced endoscopists are important prerequisites to ensure optimal outcomes.