The endoscopic ultrasound-assisted Rendez-Vous technique for treatment of recurrent pancreatitis due to pancreas divisum and ansa pancreatica

López-Durán, Sergio; Zaera, Celia; González-Martín, Juan Ángel; Foruny, José Ramón; Albillos, Agustı́n; Vázquez-Sequeiros, Enrique

doi:10.17235/reed.2017.4949/2017

Cited by 5 publications

(4 citation statements)

References 8 publications

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“…Once ansa pancreatica is diagnosed, the patient may undergo sphincterotomy of the minor papilla to relieve the obstruction, or in severe cases, endoscopic ligation of the ansa deformity may be needed. Cannulation of the minor papilla can be challenging, and in such situations, an ultrasound-assisted rendezvous technique via the ansa has been performed [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Ansa Pancreatica, an Uncommon Cause of Acute, Recurrent Pancreatitis

Shaikh

Al-Emam

Ende³

et al. 2021

Case Rep Gastroenterol

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The pancreatic duct is vulnerable to developmental anomalies which may produce variations in its course and/or its configuration. Ansa pancreatica is the least common anatomic variant. It is characterized by the formation of an “S-shaped loop” from the main pancreatic duct to the minor papilla. Ansa pancreatica has been implicated as a cause of recurrent acute pancreatitis. We review existing literature on pancreatitis secondary to the ansa deformity and present a case of recurrent acute pancreatitis in a patient who was ultimately found to have the ansa deformity on endoscopic ultrasound.

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Section: Discussionmentioning

confidence: 99%

Ansa Pancreatica, an Uncommon Cause of Acute, Recurrent Pancreatitis

Shaikh

Al-Emam

Ende³

et al. 2021

Case Rep Gastroenterol

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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%

“…A snare or reticular basket is then used to capture the guide wire to form a EUSassisted rendezvous technique. 22 After rendezvous, the catheter can very easily enter the main pancreatic duct and conduct the corresponding endoscopic treatment. This technique was successfully used on both patients in these case reports.…”

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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“…Pancreas divisum is present in 10% of patients 1 . Diagnosis during ERCP occurs in 0.47% to 2.3% of cases 2 .…”

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confidence: 99%