Forward-viewing echoendoscope-guided pancreatic duct drainage using a diathermic dilator for a severely stenotic pancreaticojejunal anastomosis

Nakamura, Kenji; Takigawa, Yutaka; Masuda, Yuki; Katayama, Tadashi; Kishikawa, Hiroshi; Matsui, Junichi; Nishida, Jiro

doi:10.1055/a-1388-5913

Cited by 1 publication

(2 citation statements)

References 6 publications

(6 reference statements)

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“…EUS-PJS is a technique that involves placing a pancreatic duct stent via the anastomosis and through the small intestine. 11,[21][22][23][24][25][26][27] Because there is a lower risk of postoperative stent misplacement into the abdominal cavity or pancreatic fluid leakage, it can be safely performed (Fig. 5).…”

Section: Eus-guided Pancreaticojejunostomymentioning

confidence: 99%

“…However, if approached through the anastomosis, there is a possibility to make it stent-free. These reports on EUS-PJS using FV-EUS have been limited to case reports, [22][23][24][25][26][27] and there are no published studies summarizing the clinical results. More comprehensive studies and reports are anticipated in the future.…”

Section: Eus-guided Pancreaticojejunostomymentioning

confidence: 99%

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Forward viewing liner echoendoscopy for therapeutic interventions

Hara,

Okuno,

Haba

et al. 2024

Clin Endosc

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Therapeutic endoscopic ultrasonography (EUS) procedures using the forward-viewing convex EUS (FV-EUS) have been reviewed based on the articles reported to date. The earliest reported procedure is the drainage of pancreatic pseudocysts using FV-EUS. However, the study on drainage of pancreatic pseudocysts focused on showing that drainage is possible with FV-EUS rather than leveraging its features. Subsequently, studies describing the characteristics of FV-EUS have been reported. By using FV-EUS in EUS-guided choledochoduodenostomy, double punctures in the gastrointestinal tract can be avoided. In postoperative modified anatomical cases, using the endoscopic function of FV-EUS, procedures such as bile duct drainage from anastomosis, pancreatic duct drainage from the afferent limb, and abscess drainage from the digestive tract have been reported. When a perpendicular puncture to the gastrointestinal tract is required or when there is a need to insert the endoscope deep into the gastrointestinal tract, FV-EUS is considered among the options.

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