Endosonography-guided pancreatic duct drainage for chronic pancreatitis: a case report and review.
A 50-year-old man was admitted to our department, complaining of epigastric pain and high fever. CT revealed a pseudocyst at the pancreatic head with upstream dilatation of the pancreatic duct (PD) and fluid collection surrounding the pancreas. Endosonography-guided PD drainage (ESPD) was performed because of unsuccessful ERCP. With a curved linear array echoendoscope, a 7.2 F catheter was placed in the PD. Laboratory data showed improvement in a few days and revealed disappearance of the fluid collection. Ten days after ESPD, a 7 F stent was placed in the PD via the puncture tract across the papilla of Vater followed by transpapillary replacement with a 10 F stent. CT showed a reduction in diameter of the PD and disappearance of the pseudocyst. ESPD is a feasible and useful procedure in selected patients with chronic pancreatitis showing stenosis of the main PD when transpapillary approach is impossible.
Ito
Kei
K
Department of Gastroenterology, Sendai City Medical Center, Sendai, Miyagi 983-0824, Japan.
Fujita
Naotaka
N
Noda
Yutaka
Y
Kobayashi
Go
G
Obana
Takashi
T
Horaguchi
Jun
J
Koshita
Shinsuke
S
Kanno
Yoshihide
Y