title: EUS-guided rendezvous drainage for pancreatic duct obstruction from stenosis of pancreatojejunal anastomosis after pancreatoduodenostomy.
abstract: A 79-year-old man underwent pancreatoduodenectomy with Imanaga reconstruction for an ampullary adenocarcinoma in 2003. After that, he experienced recurrent pancreatitis with a suspicious stenotic pancreatojejunal anastomosis. Although endoscopic drainage through the pancreatojejunal anastomosis was attempted, the stenotic anastomosis could not be located endoscopically. Therefore, endosonography-guided rendezvous drainage through the anastomosis was performed, and endoscopic pancreatic stent placement was successfully completed. Thereafter, the patient did not experience any further attacks of pancreatitis. Endosonography-guided rendezvous drainage is a feasible treatment option for recurrent pancreatitis due to stenosis of pancreatojejunal anastomosis.
authors.affiliation: Department of Endoscopy, The Jikei University School of Medicine, Tokyo, Japan.
authors.forename: Naoki
authors.initials: N
authors.lastname: Mori
authors.forename: Hiroo
authors.initials: H
authors.lastname: Imazu
authors.forename: Yasuro
authors.initials: Y
authors.lastname: Futagawa
authors.forename: Keisuke
authors.initials: K
authors.lastname: Kanazawa
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kakutani
authors.forename: Kazuki
authors.initials: K
authors.lastname: Sumiyama
authors.forename: Tiing Leong
authors.initials: TL
authors.lastname: Ang
authors.forename: Salem
authors.initials: S
authors.lastname: Omar
authors.forename: Hisao
authors.initials: H
authors.lastname: Tajiri
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000009:adverse effects; D003251:Constriction, Pathologic / Q000209:etiology / Q000601:surgery; D004322:Drainage / Q000379:methods*; D004385:Duodenostomy / Q000009:adverse effects*; D019160:Endosonography / Q000379:methods; D004766:Enterostomy / Q000009:adverse effects*; D006801:Humans; D008297:Male; D010182:Pancreatic Diseases / Q000473:pathology / Q000601:surgery*; D010183:Pancreatic Ducts / Q000473:pathology / Q000601:surgery*; D018084:Ultrasonography, Interventional / Q000379:methods