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Gastrointest Endosc. 2002 Jul;56(1):128-33.

EUS-guided pancreaticogastrostomy.

Author information

1
Department of Gastroenterology, Hôpital Erasme, Brussels, Belgium.

Abstract

BACKGROUND:

The pain of chronic pancreatitis can be caused by pancreatic ductal hypertension, and endoscopic drainage of the main pancreatic duct can provide relief. When transpapillary access to a dilated portion of the main duct cannot be obtained, conventional endoscopic drainage is not possible. The use of interventional EUS to perform a pancreaticogastrostomy in such cases is described.

METHODS:

Four patients presented with pain and a dilated main pancreatic duct proximal to a complete obstruction. EUS was used to access the dilated duct and create a pancreaticogastrostomy. Patency of the latter was maintained by placement of a pancreaticogastric stent.

OBSERVATIONS:

EUS-guided pancreaticogastrostomy was performed without major complication. Three of 4 patients had satisfactory relief of pain at a median follow-up of 1 year.

CONCLUSION:

EUS-guided pancreaticogastrostomy may be a promising new technique for pancreatic drainage and pain relief when conventional transpapillary access to the pancreatic duct is not possible.

PMID:
12085052
DOI:
10.1067/mge.2002.125547
[Indexed for MEDLINE]

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