Endoscopic Ultrasound-Guided Rendezvous Procedure for a Nondilated, Leaking Pancreatic Duct

Pancreatic duct (PD) leak leading to pancreatic ascites is a serious complication of chronic pancreatitis. Endoscopic management with endoscopic retrograde cholangiopancreatography (ERCP) has been found to be successful; however, if selective cannulation of the PD is unsuccessful, an endoscopic ultr...

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Autores principales: Prakash, Arjun, Koshy, Anoop K., Rao B, Harshavardhan, Venu, Rama P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American College of Gastroenterology 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317836/
https://www.ncbi.nlm.nih.gov/pubmed/30643848
http://dx.doi.org/10.14309/crj.2018.105
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author Prakash, Arjun
Koshy, Anoop K.
Rao B, Harshavardhan
Venu, Rama P.
author_facet Prakash, Arjun
Koshy, Anoop K.
Rao B, Harshavardhan
Venu, Rama P.
author_sort Prakash, Arjun
collection PubMed
description Pancreatic duct (PD) leak leading to pancreatic ascites is a serious complication of chronic pancreatitis. Endoscopic management with endoscopic retrograde cholangiopancreatography (ERCP) has been found to be successful; however, if selective cannulation of the PD is unsuccessful, an endoscopic ultrasound–guided rendezvous procedure can help in bridging PD leaks, provided the duct is dilated. We report a successful endoscopic ultrasound–guided rendezvous procedure in a patient with PD leak, pancreatic ascites, and a nondilated duct with failed ERCP who was a poor candidate for surgery. The pancreatic ascites resolved following the procedure.
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spelling pubmed-63178362019-01-14 Endoscopic Ultrasound-Guided Rendezvous Procedure for a Nondilated, Leaking Pancreatic Duct Prakash, Arjun Koshy, Anoop K. Rao B, Harshavardhan Venu, Rama P. ACG Case Rep J Case Report Pancreatic duct (PD) leak leading to pancreatic ascites is a serious complication of chronic pancreatitis. Endoscopic management with endoscopic retrograde cholangiopancreatography (ERCP) has been found to be successful; however, if selective cannulation of the PD is unsuccessful, an endoscopic ultrasound–guided rendezvous procedure can help in bridging PD leaks, provided the duct is dilated. We report a successful endoscopic ultrasound–guided rendezvous procedure in a patient with PD leak, pancreatic ascites, and a nondilated duct with failed ERCP who was a poor candidate for surgery. The pancreatic ascites resolved following the procedure. American College of Gastroenterology 2018-12-19 /pmc/articles/PMC6317836/ /pubmed/30643848 http://dx.doi.org/10.14309/crj.2018.105 Text en Copyright © Prakash et al. This is an open-access article. This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0/
spellingShingle Case Report
Prakash, Arjun
Koshy, Anoop K.
Rao B, Harshavardhan
Venu, Rama P.
Endoscopic Ultrasound-Guided Rendezvous Procedure for a Nondilated, Leaking Pancreatic Duct
title Endoscopic Ultrasound-Guided Rendezvous Procedure for a Nondilated, Leaking Pancreatic Duct
title_full Endoscopic Ultrasound-Guided Rendezvous Procedure for a Nondilated, Leaking Pancreatic Duct
title_fullStr Endoscopic Ultrasound-Guided Rendezvous Procedure for a Nondilated, Leaking Pancreatic Duct
title_full_unstemmed Endoscopic Ultrasound-Guided Rendezvous Procedure for a Nondilated, Leaking Pancreatic Duct
title_short Endoscopic Ultrasound-Guided Rendezvous Procedure for a Nondilated, Leaking Pancreatic Duct
title_sort endoscopic ultrasound-guided rendezvous procedure for a nondilated, leaking pancreatic duct
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317836/
https://www.ncbi.nlm.nih.gov/pubmed/30643848
http://dx.doi.org/10.14309/crj.2018.105
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