Post written by Yuka Kawazoe, MD, from the Department of Gastroenterology, Kameda Medical Center, Kamogawa, Japan. This video presents a case that demonstrates the use of an uneven double-lumen cannula combined with a percutaneous rendezvous technique to achieve pancreatic duct access in a patient with complex postoperative anatomy. We chose to showcase this video because it illustrates …
Tag: pancreatic duct
EUS-guided pancreaticoduodenostomy using a lumen-apposing metal stent as a primary approach to treat difficult pancreatolithiasis: creating a side door to unlock the front door
Post written by Michael Lajin, MD, from Sharp HealthCare, San Diego, California, USA. A 55-year-old man with chronic calcific pancreatitis presented with abdominal pain and 12-pound weight loss. Abdominal CT and MRCP showed a large burden of calcified obstructive pancreatic duct (PD) stones above the papilla resulting in upstream PD dilatation measuring 19 mm. We discussed the …
Pancreas and biliary ablation devices
Post written by Dennis Chen, MD, from the Center for Endoscopic Research and Therapeutics, University of Chicago, Chicago, Illinois, USA. This Technology Status Evaluation Report evaluates the available ablative therapy devices for pancreatic and biliary ductal conditions and reviews the devices, techniques, indications, efficacy, and safety profiles of the existing technology. Ablative therapies have been increasingly used …
A rare case of pedunculated ampulloma: EUS view and resection
Post written by Dario Ligresti, MD, from the Endoscopy Service, Department of Diagnostic and Therapeutic Services, Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione - Istituto di Ricovero e Cura a Carattere Scientifico, and Giacomo Emanuele Maria Rizzo, MD, from the Department of Surgical and the Department of Surgical, Oncological and Oral Sciences, University …
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Troubleshooting impaction of a pancreatoscopy-guided retrieval basket during pancreatic duct stone removal
Post written by Samuel Han, MD, MS, from The Ohio State University Wexner Medical Center, Columbus, Ohio, USA. We describe a case of pancreatoscopy-guided removal of a pancreatic duct stone. As electrohydraulic lithotripsy (EHL) was unsuccessful in fragmenting the large pancreatic duct stone, we used a cholangiopancreatoscopy-specific basket device to capture the stone. During removal of …
Endoscopic submucosal dissection with ductotomy for the resection of a gastric duplication cyst with a communicating duct
Post written by Hiroyuki Aihara, MD, PhD, from the Division of Gastroenterology Hepatology and Endoscopy, Brigham and Women’s Hospital, Boston, Massachusetts, USA. A 40-year-old woman with persistent upper abdominal pain was found to have a 3-cm subepithelial lesion in the prepyloric area and was referred to our center. EUS showed an anechoic cyst in the …
Pancreatic duct rendezvous with pancreatoscopy through the minor papilla
Post written by Erin Y. Chew, BS, Bibin T. Varghese, BS, and Robert J. Sealock, MD, from the Department of Gastroenterology, Baylor College of Medicine, Houston, Texas, USA. An 18-year-old woman presented to our hospital with diffuse abdominal pain and visible distention. She reported a history of acute pancreatitis 2 months earlier. Physical examination revealed …
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Successful EUS-guided nondilated pancreatic duct stent placement
Post written by Kazuhiro Minami, MD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan. Recently, the interventional EUS procedure has been performed in many facilities; however, EUS-guided pancreatic drainage (EUS-PD) remains extremely technically challenging. Generally, the normal pancreatic duct is too narrow to cannulate, and …
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Intraoperative laparoscopic-assisted pancreatoscopy
Toufic Kachaamy, MD and Rahul Pannala, MD present this case from the VideoGIE section "Intraoperative laparoscopic-assisted pancreatoscopy and its role in differentiating main duct intraductal papillary mucinous neoplasm from chronic pancreatitis." This case describes the multidisciplinary management of a patient with a severely dilated pancreatic duct suspicious for main duct intraductal papillary mucinous neoplasm (IPMN). …
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Post-ERCP pancreatitis
Yousuke Nakai, MD, PhD from the Department of Gastroenterology, Graduate School of Medicine at The University of Tokyo in Tokyo, Japan discusses his Original Article, "Risk factors for post-ERCP pancreatitis in wire-guided cannulation for therapeutic biliary ERCP." This study was an analysis of risk factors for post-ERCP pancreatitis (PEP) in wire-guided cannulation (WGC) for therapeutic …
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