Endoscopic ultrasonography-guided drainage of the pancreatic duct.
Over the last 2 decades there has been continuing development in endoscopic ultrasonography (EUS). EUS-guided pancreatic drainage is an evolving procedure that can be offered to patients who are high-risk surgical candidates and in whom the pancreatic duct cannot be accessed by endoscopic retrograde pancreatography. Although EUS-guided pancreatic drainage is a minimally invasive alternative option to surgery and interventional radiology, owing to its complexity and potential for fulminant complications it is recommended that these procedures be performed by highly skilled endoscopists. Additional data are needed to define risks and long-term outcomes more accurately via a dedicated prospective registry.
Division of Gastroenterology & Hepatology, Department of Medicine, Weill Cornell Medical College, 1305 York Avenue, 4th Floor, New York, NY 10021, USA.
Jessica
J
Widmer
Reem Z
RZ
Sharaiha
Michel
M
Kahaleh
D002137:Calculi / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D003251:Constriction, Pathologic / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D004322:Drainage; D016145:Endoscopy, Digestive System / Q000295:instrumentation / Q000379:methods*; D019160:Endosonography; D006801:Humans; D010183:Pancreatic Ducts / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D018084:Ultrasonography, Interventional
Endoscopic retrograde cholangiopancreatography; Endoscopic ultrasonography; Pancreatic access; Pancreatic drainage; Pancreaticogastrostomy