Post written by Toshiyasu Shiratori, MD, from the Department of Gastroenterology, Kameda Medical Center, Kamogawa City, Japan.

This video shows an endoscopic pancreatic duct drainage technique combining ERCP with EUS using a percutaneous drainage route for main pancreatic duct disconnection that was difficult to traverse through the disconnected segment using either ERCP- or EUS-guided approaches.

Generally endoscopic pancreatic duct drainage by ERCP- or EUS-guided approaches may be performed for main pancreatic duct disconnection. However, it may be not possible to traverse the disconnection via ERCP- or EUS-guided approaches in cases of complete disconnection. Therefore, we describe this method to re-establish continuity of the main pancreatic duct to the main pancreatic duct disconnection.

 We hope that this procedure will be useful to you as one of the treatment options for cases of complete main pancreatic duct disconnection.

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