Percutaneous pancreatography for treatment of complicated pancreatic duct strictures.
BACKGROUND
Percutaneous transhepatic cholangiography was developed over 30 years ago for the diagnosis of biliary disorders. It has become an accepted interventional technique for management of biliary tract diseases, especially in patients who have failed attempted endoscopic retrograde pancreatography or have altered anatomy that makes the biliary tree endoscopically inaccessible. The correlative procedure, which we term 'percutaneous pancreatography' (PP), has only been described once in the literature.


METHODS
We report the outcome of 4 patients undergoing PP for management of difficult pancreatic duct strictures. In all patients, PP was used to provide access and therapy of otherwise endoscopically impassable pancreatic duct strictures. PP-guided pancreatic stent duct placement was performed and allowed for subsequent successful endoscopic management of complex, benign pancreatic duct obstructions.


CONCLUSIONS
PP is a useful modality for management of otherwise endoscopically impassable pancreatic duct strictures.
Simmons
Dia T
DT
Division of Gastroenterology & Hepatology, Department of Medicine, Mayo Clinic College of Medicine, Rochester, MN 55905, USA.
Baron
Todd H
TH
LeRoy
Andrew
A
Petersen
Bret T
BT
D000714:Anastomosis, Surgical; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000379:methods; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010183:Pancreatic Ducts / Q000000981:diagnostic imaging*; D019283:Pancreatitis, Acute Necrotizing / Q000150:complications; D015642:Radiology, Interventional; D015607:Stents