title: Technique of endoscopic ultrasonography-guided pancreatic duct intervention (with videos).
abstract: To date, several endoscopic ultrasonography (EUS)-guided interventions have been reported. Of these interventions, EUS-guided pancreatic duct (PD) intervention seems to be the most difficult and challenging procedure to accomplish. We provide suggestions for EUS-guided PD intervention, which includes PD stenting and the rendezvous technique following EUS-guided pancreatography. PD stenting is performed between the PD and the gastrointestinal tract (stomach, duodenum, or jejunum). The rendezvous technique is performed using a guidewire across the papilla or anastomotic site for retrograde stent insertion. EUS-guided PD intervention is still challenging because it is not established yet. Thus, although EUS-guided PD intervention seems to be promising, it should be performed in selected patients such as those of failed standard endoscopic retrograde cholangiopancreatography.
authors.affiliation: Department of Gastroenterology and Hepatology, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan. itoi@tokyo-med.ac.jp.
authors.forename: Takao
authors.initials: T
authors.lastname: Itoi
authors.forename: Ichiro
authors.initials: I
authors.lastname: Yasuda
authors.forename: Toshio
authors.initials: T
authors.lastname: Kurihara
authors.forename: Fumihide
authors.initials: F
authors.lastname: Itokawa
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Kasuya
mesh_terms: D019160:Endosonography / Q000379:methods*; D006801:Humans; D010183:Pancreatic Ducts / Q000000981:diagnostic imaging / Q000601:surgery*; D015607:Stents
keywords: Endoscopic ultrasonogaraphy; Interventional endoscopic ultrasonogaraphy; Pancreatic duct drainage; Surgical altered anatomy