EUS-guided pancreatogastrostomy and pancreatobulbostomy in patients with pancreatic-duct obstruction inaccessible to transpapillary endoscopic therapy: working our way to NOTES

Vignesh, Shivakumar; Jamidar, Priya A.

doi:10.1016/j.gie.2006.09.027

Cited by 16 publications

(5 citation statements)

References 73 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[ 9 ] Approximately 15 studies, all retrospective and mostly monocentric, have since been carried out on the subject. [ 8 9 10 11 12 13 14 15 16 17 18 19 ]…”

Section: Discussionmentioning

confidence: 99%

EUS-guided drainage of the pancreatic duct for the treatment of postoperative stenosis of pancreatico-digestive anastomosis or pancreatic duct stenosis complicating chronic pancreatitis: Experience at a tertiary care center

Rudler

Caillol

Ratone

et al. 2022

Endoscopic Ultrasound

View full text Add to dashboard Cite

Background and Objectives: For the treatment of pancreatic duct stenosis due to chronic pancreatitis (CP) or postoperative (PO) stenosis, endoscopic procedures are usually the first choice. In cases of failure of the recommended treatment by ERCP, anastomosis between the Wirsung duct and the stomach or duodenum can be performed under EUS guidance. The objective of this retrospective study was to compare the outcomes of pancreatico-gastric or pancreaticoduodenal anastomosis under EUS for PO stenosis versus CP stenosis. Subjects and Methods: This was a retrospective, single-center, consecutive case study of patients who underwent EUS-guided Wirsungo-gastric/bulbar anastomosis. Results: Forty-three patients were included. Twenty-one patients underwent treatment for PO stenosis, and 22 patients underwent treatment for CP stenosis. The technical success rate was 95.3% (41/43), with 100% in cases of PO stenosis and 90.9% in cases of CP stenosis. The clinical success rate was 72.5% (29/40): 75% (15/20) in cases of PO stenosis and 70% (14/20) in cases of CP stenosis. The overall morbidity rate was 34.9% (15/43). The main complication was postprocedural pain, occurring in 20.9% (9/443) of patients. The rate of stent migration or obstruction was 27.9% (12/43). There was no difference in patient outcomes or morbidity according to the etiology of the stenosis. The median follow-up duration in this study was 14 months. Conclusions: EUS-guided Wirsungo-gastric/duodenal anastomosis is a feasible, minimally invasive, safe, and relatively effective procedure. The rates of technical success, clinical success, and complications were not different between patients with PO and CP stenosis. However, the follow-up period was too short to assess recurrent symptoms in these patients.

show abstract

“…[ 9 ] Approximately 15 studies, all retrospective and mostly monocentric, have since been carried out on the subject. [ 8 9 10 11 12 13 14 15 16 17 18 19 ]…”

Section: Discussionmentioning

confidence: 99%

EUS-guided drainage of the pancreatic duct for the treatment of postoperative stenosis of pancreatico-digestive anastomosis or pancreatic duct stenosis complicating chronic pancreatitis: Experience at a tertiary care center

Rudler

Caillol

Ratone

et al. 2022

Endoscopic Ultrasound

View full text Add to dashboard Cite

show abstract

“…Such drainage is usually performed by transpapillary endoscopic pancreatic sphincterotomy, dilation, and stenting as the first‐line treatment. However, for patients in whom such transpapillary drainage due to postsurgical anatomy and/or refractory ductal stenosis is difficult, transmural drainage under EUS guidance can be performed with the advancement of devices and echoendoscope . Nowadays, the development of EUS‐guided pancreatic duct intervention plays an important role as an alternative to surgical intervention.…”

Section: Endoscopic Therapy For Benign Pancreatic Ductal Stricturementioning

confidence: 99%

“…However, for patients in whom such transpapillary drainage due to postsurgical anatomy and/or refractory ductal stenosis is difficult, transmural drainage under EUS guidance can be performed with the advancement of devices and echoendoscope. 58 Nowadays, the development of EUSguided pancreatic duct intervention plays an important role as an alternative to surgical intervention. In CP patients, due to the recurrence of the stricture after definitive stent removal, the patient is forced to undergo routine stent replacement.…”

Section: Endoscopic Therapy For Benign Pancreatic Ductal Stricturementioning

confidence: 99%

Recent innovations in therapeutic endoscopy for pancreatobiliary diseases

Irisawa¹,

Miyoshi

Itoi

et al. 2019

Digestive Endoscopy

View full text Add to dashboard Cite

The development of endoscopic treatment for pancreatobiliary diseases in recent years is remarkable. In addition to conventional transpapillary treatments under endoscopic retrograde cholangiopancreatography (ERCP), new endoscopic ultrasound‐guided therapy is being developed and implemented. On the other hand, due to the development/improvement of various devices such as new metal stents, a new therapeutic strategy under ERCP is also advocated. The present review focuses on recent advances in the endoscopic treatment of pancreatic pseudocysts, walled‐off necrosis, malignant biliary strictures, and benign biliary/pancreatic duct strictures.

show abstract

“…Recently, two novel endoscopic technologies including EUS–guided pancreaticogastrostomy (EPG) and pancreatobulbostomy (EPB) have been reported as alternatives to the conventional endoscopic transpapillary drainage. [ 2 ] It is thought that EPB is more preferred than EPG due to the “long” scope position providing with better view, better operation stability, better stent “pushability,”[ 3 ] better physiological drainage pathway, and shorter puncture distance. Therefore, we adopted EPB for the first time in PD in which the dilated mPD was inaccessible to transpapillary endoscopic therapy in our case.…”

mentioning

confidence: 99%

Stent drainage achieved by endoscopic ultrasonography-guided puncture from duodenal bulb to the minor pancreatic duct for the treatment of acute epigastric pain in a patient with pancreas divisum

Cheng

et al. 2018

Endosc Ultrasound

View full text Add to dashboard Cite

EUS-guided pancreatogastrostomy and pancreatobulbostomy in patients with pancreatic-duct obstruction inaccessible to transpapillary endoscopic therapy: working our way to NOTES

Cited by 16 publications

References 73 publications

EUS-guided drainage of the pancreatic duct for the treatment of postoperative stenosis of pancreatico-digestive anastomosis or pancreatic duct stenosis complicating chronic pancreatitis: Experience at a tertiary care center

EUS-guided drainage of the pancreatic duct for the treatment of postoperative stenosis of pancreatico-digestive anastomosis or pancreatic duct stenosis complicating chronic pancreatitis: Experience at a tertiary care center

Recent innovations in therapeutic endoscopy for pancreatobiliary diseases

Stent drainage achieved by endoscopic ultrasonography-guided puncture from duodenal bulb to the minor pancreatic duct for the treatment of acute epigastric pain in a patient with pancreas divisum

Contact Info

Product

Resources

About