EUS guided pancreatic duct decompression in surgically altered anatomy or failed ERCP – A systematic review, meta-analysis and meta-regression

Techniques and Outcomes of Endoscopic Ultrasound Guided—Pancreatic Duct Drainage (EUS- PDD)

“…Published reports currently estimate the technical success of EUS- PDD to be around 80% with an adverse event rate of 20% [ 14 , 18 , 48 ]. Imoto et al summarized in a review the outcomes of 401 patients who underwent EUS-guided transmural stenting.…”

“…Adverse outcomes occurred in 25% (102/401 patients), of which 5% (20/401) were classified as severe adverse events. Bhurwal et al summarized the outcomes of EUS-guided pancreatic duct decompression in a recent meta-analysis [ 48 ]. In this meta-analysis comprising 503 patients, the technical success rate was 81.4%, clinical success was 84.6% with an overall adverse event rate of 21.3% (mostly post-procedural pain), and pooled event rate of 5% for EUS- PD pancreatitis.…”

Utility of a novel drill dilator for easier EUS‐guided pancreatic duct drainage

“…Endoscopic ultrasound‐pancreatic duct drainage (EUS‐PD) is an effective treatment for obstructive pancreatitis 1 . However, it is a difficult and dangerous procedure even for experts in the stenosis after pancreatojejunostomy 2 . EUS‐PD is a challenging procedure that must be successful to avoid serious complications.…”

“…1 However, it is a difficult and dangerous procedure even for experts in the stenosis after pancreatojejunostomy. 2 EUS-PD is a challenging procedure that must be successful to avoid serious complications. MPD puncture is sometimes difficult because of the hard pancreas.…”

EUS-guided pancreatic duct drainage with rendezvous technique for post-Whipple pancreatic duct stone

“…EUS-guided pancreatic duct (EUS-PD) drainage is a challenging procedure with a technical success rate of 81%, an adverse event rate of 21%, and a steep learning curve. 1 , 2 In addition to difficulties in reaching and identifying the pancreaticojejunal anastomosis (PJA), the lack of dedicated stone extraction devices for long-type double-balloon enteroscopes can make EUS-PD drainage rendezvous for pancreatic duct stones (PDS) particularly challenging. 3 We present a case of EUS-PD drainage rendezvous in a patient with PJA stenosis and PDS.…”