Single-operator, single-session EUS-guided anterograde cholangiopancreatography in failed ERCP or inaccessible papilla

Endoscopic ultrasound‐guided pancreatic duct drainage

“…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].…”

“…18/20 Bleeding (n = 1) Perigastric fluid collection (n = 1) Shah et al 2012 [16] TP/TA b (n = 9) Transluminal (n = 10)…”

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“…Comparable results were obtained in a separate review [273]. Lower adverse events are reported by experienced centers [265,279,280,295]. In one study complications occurred in 15/95 ESC-D (15.7 %), with a single intraperitoneal stent migration in advanced tumor disease responsible for a 1.1 % mortality rate [265].…”

Endoscopic Ultrasound in Pancreatic Cancer: The New Perspective

“…One approach is transduodenal in combination with ERCP (rendez-vous technique), with reported technical success rates of 75-100% [159,160]. EUS-guided choledochoduodenostomy with transluminal stenting is successful in 75-88% of cases [161][162][163][164], while the transgastric approach has a success rate of 65-100% [165][166][167].…”