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  • Title: Technique of endoscopic ultrasonography-guided pancreatic duct intervention (with videos).
    Author: Itoi T, Yasuda I, Kurihara T, Itokawa F, Kasuya K.
    Journal: J Hepatobiliary Pancreat Sci; 2014 Feb; 21(2):E4-9. PubMed ID: 24123911.
    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.
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