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, Bin; Li, Demin; Wu, Xiaoli; Zhang, Zhicheng; Zhang, Min; Yang, Min Jae; Guo, Qiaozhen; Zhao, Qiu

doi:10.4103/eus.eus_35_17

Cited by 2 publications

(2 citation statements)

References 3 publications

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“…17 In recent years, EUS-guided puncture combined with ERCP has been more widely used in the diagnosis and treatment of pancreatic diseases. [18][19][20][21][22] It was first reported by Dewitt et al as a technique performed in the patient of PD. 23 The procedure is as follows: First, EUS is used to guide a needle through the stomach and into the main pancreatic duct.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Difficult Minor Papilla Cannulation in Patients of Pancreatic Divisum: Using Endoscopic Ultrasonography–guided Puncture Combined With Endoscopic Retrograde Cholangiopancreatography: 2 Cases and Literature Review

Huang

Fan

et al. 2019

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Context: Pancreas divisum (PD), the most common congenital anatomic variation of the pancreatic ductal system, is still rare in clinical practice. Endoscopic retrograde cholangiopancreatography (ERCP) is the first-line treatment for patients with symptomatic PD. However, even by experienced endoscopists, the procedure of ERCP can fail in 3% to 10% of cases. Traditionally, if we fail in cannulation we have no choice but to rely on surgery.Case Report: The 2 case reports of PD in this study with cannulation were both unsuccessful, fortunately, the use of endoscopic ultrasonography-guided pancreatic duct puncture combined with ERCP was eventually successful in treatment.Conclusions: Using endoscopic ultrasonography-guided pancreatic duct puncture combined with ERCP is safe and effective for the treatment of the patients of difficult minor papilla cannulation in patients of PD, and can be used as a remedy for minor papilla cannulation failure.

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Section: Discussionmentioning

confidence: 99%

Treatment of Difficult Minor Papilla Cannulation in Patients of Pancreatic Divisum: Using Endoscopic Ultrasonography–guided Puncture Combined With Endoscopic Retrograde Cholangiopancreatography: 2 Cases and Literature Review

Huang

Fan

et al. 2019

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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“…Zhang et al . [22,51,78,79] have devised a retrievable puncture anchor (Vedkang Inc., Changzhou, China) for gallbladder puncture in EUS-guided gallbladder drainage. The retrievable anchor is attached to the gallbladder to provide traction, while the gallbladder is punctured and drained using a LAMS.…”

Section: Future Directions For Endoscopic Ultrasound-guided Gastroentmentioning

confidence: 99%

Endoscopic Ultrasound-guided Gastroenterostomy: A Promising Alternative to Surgery

Wang

Xiang

Wang

et al. 2019

Journal of Translational Internal Medicine

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Recently, with the advancement of techniques, endoscopic ultrasound-guided therapies have shown distinct advantages, especially in relieving benign and malignant gastric outlet obstruction (GOO), as well as in postoperative pancreaticobiliary diseases. Herein, we present five currently used approaches in endoscopic ultrasound-guided gastroenterostomy (EUS-GE) using lumenapposing biflanged metal stents (LAMS), along with several examples of LAMS-based EUS treatment of pancreaticobiliary diseases. Compared with traditional treatment methods, EUS-guided procedures have – to some degree – shown higher success rates, both technical and clinical. Moreover, EUS-guided therapies reduce the risk of multiple surgical adverse events, including delayed gastric emptying, prolonged hospital stay, increased costs, and delay in cancer treatment. Particularly in terms of postoperative pancreaticobiliary diseases, EUS-guided therapy has assumed an essential role as a treatment option in cases where traditional methods are difficult to perform. Nevertheless, EUS-guided gastrointestinal procedures are still relatively new, with some clinical failures, and additional prospective clinical trials are warranted.

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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

Cited by 2 publications

References 3 publications

Treatment of Difficult Minor Papilla Cannulation in Patients of Pancreatic Divisum: Using Endoscopic Ultrasonography–guided Puncture Combined With Endoscopic Retrograde Cholangiopancreatography: 2 Cases and Literature Review

Treatment of Difficult Minor Papilla Cannulation in Patients of Pancreatic Divisum: Using Endoscopic Ultrasonography–guided Puncture Combined With Endoscopic Retrograde Cholangiopancreatography: 2 Cases and Literature Review

Endoscopic Ultrasound-guided Gastroenterostomy: A Promising Alternative to Surgery

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