Transgastric pancreatography and EUS-guided drainage of the pancreatic duct

Will, Uwe; Fueldner, Frank; Thieme, Anne-Kathrin; Goldmann, Bernhard; Gerlach, Rainer; Wanzar, Igor; Meyer, Frank

doi:10.1007/s00534-006-1139-8

Cited by 112 publications

(55 citation statements)

References 13 publications

(44 reference statements)

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“…However, Will et al noted that during a follow-up period that spanned 4 weeks to 3 years, 29% of patients required surgical intervention [22]. Tessier et al reported stent dysfunction in 55% (20/26) of patients that required a total of 29 repeat endoscopies [7].…”

Section: Technical Success Outcomes and Complicationsmentioning

confidence: 99%

“…These data suggest that patients may benefit from routine stent exchange, particularly if they require prolonged stent duration. [11,13] TP [7] Transluminal (n = 33) 33/36 Bleeding (n = 1) Acute pancreatitis (n = 1) Unspecified mild complication (n = 3) Will et al 2007 [22] Retrograde TP/TA (n = 4) Transluminal (n = 5)…”

Section: Technical Success Outcomes and Complicationsmentioning

confidence: 99%

See 1 more Smart Citation

Endoscopic ultrasound‐guided pancreatic duct drainage

Fujii-Lau

Levy

2014

J Hepato Biliary Pancreat

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Endoscopic ultrasound (EUS) has evolved from a purely diagnostic procedure to one with therapeutic capabilities. One of the most challenging therapeutic intervention for endosonographers is EUS-guided pancreatic drainage. The development of this technique has allowed access and drainage of the main pancreatic duct after failed endoscopic retrograde pancreatography and can avoid invasive procedures such as surgical and percutaneous interventions. This review discusses the indications, technique, challenges, and an algorithmic approach to EUS-guided pancreatic drainage.

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Section: Technical Success Outcomes and Complicationsmentioning

confidence: 99%

Section: Technical Success Outcomes and Complicationsmentioning

confidence: 99%

Endoscopic ultrasound‐guided pancreatic duct drainage

Fujii-Lau

Levy

2014

J Hepato Biliary Pancreat

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“…For patient in whom conventional ERCP is not feasible or fails, access and decompression of the main pancreatic duct using EUS-guided pancreatography has increased the success for PD drainage [30][31][32][43][44][45] . This constitutes a minimally invasive alternative to surgery in patient with altered anatomy or severe stone burden not responding to ESWL.…”

Section: Pancreatic Stricturesmentioning

confidence: 99%

Endoscopic management of chronic pancreatitis

Oza

Kahaleh²

2013

WJGE

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Chronic pancreatitis (CP) is a common gastrointestinal illness, which affects the quality of life with substantial morbidity and mortality. The management includes medical, endoscopic and surgical approaches with the need for interaction between various specialties, calling for a concerted multidisciplinary approach. However, at the time of this publication, guidelines to establish care of these patients are lacking. This review provides the reader with a comprehensive overview of the studies summarizing the various treatment options available, including medical, surgical and endoscopic options. In addition, technological advances such as endoscopic retrograde cholangiopancreatogrophy, endoscopic shock wave lithotripsy and endoscopic ultrasound can now be offered with reasonable success for pancreatic decompression, stricture dilatation with stent placement, stone fragmentation, pseudocyst drainage, and other endoscopic interventions such as celiac plexus block for pain relief. We emphasize the endoscopic options in this review, and attempt to extract the most up to date information from the current literature. The treatment of CP and its complications are discussed extensively. Complications such as biliary strictures. pancreatic pseudocysts, and chronic pain are common issues that arise as long-term complications of CP. These often require endoscopic or surgical management and possibly a combination of approaches, however choosing amongst the various therapeutic and palliative modalities while weighing the risks and benefits, makes the management of CP challenging. Treatment goals should be not just to control symptoms but also to prevent disease progression. Our aim in this paper is to advocate and emphasize an evidence based approach for the management of CP and associated long term complications.

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“…Matsubayashi Hiroyuki et al Endoscopic ultrasound guided-retrograde pancreatic stent placement … Endoscopy 2013; 45: E435-E436 not performed through the abdominal cavity; hence, it carries a lower risk of pancreatic juice leakage and other complications [5]. This method is worthwhile when attempting to rescue a stenotic pancreatojejunostomy after a Whipple resection.…”

Section: Cases and Techniques Library (Ctl) E435mentioning

confidence: 99%