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 …
Tag: pancreatic duct
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 …