Endoscopic ultrasound-guided pancreaticogastrostomy for symptomatic pancreatic duct obstruction caused by migrated pancreatic stent

World Journal of Gastrointestinal Endoscopy
Lei LuXiao-Feng Zhang

Abstract

Endoscopic pancreatic stenting has been widely used in various pancreatic conditions. With the increasing use of pancreatic stents, many complications have been recognized. Especially, proximal stent migration presents a serious condition because of subsequent pancreatic duct obstruction, impaired drainage, ductal dilation, and pancreatic pain. Although endoscopic retrieval is the preferred treatment for proximally migrated pancreatic stents, it is not always successful, resulting in conversion to surgery. To date, endoscopic ultrasound-guided pancreatic duct drainage (EUS-PD) has never been reported for treatment of pancreatic duct obstruction caused by proximally migrated pancreatic stent. We herein describe a case of pancreatic duct rupture and obstruction caused by proximally migrated pancreatic stent that was successfully treated by EUS-guided pancreaticogastrostomy while keeping the former stent in situ after failed endoscopic retrograde cholangiopancreatography. We believe that this report adds to the increasing evidence of symptomatic pancreatic duct obstruction being successfully treated by EUS-PD.

References

May 1, 1992·Gastrointestinal Endoscopy·J F JohansonJ E Geenen
Apr 30, 2002·Gastrointestinal Endoscopy·Laurent Bataille, Pierre Deprez
Jun 3, 2004·Gastrointestinal Endoscopy·Martin L Freeman, Nalini M Guda
Jul 31, 2013·Gastrointestinal Endoscopy·Larissa L FujiiMichael J Levy
Oct 15, 2013·Journal of Hepato-biliary-pancreatic Sciences·Takao ItoiKazuhiko Kasuya
Nov 19, 2013·Gastrointestinal Endoscopy·Marc Giovannini
Feb 19, 2014·Journal of Hepato-biliary-pancreatic Sciences·Kazuyuki MatsumotoHiroyuki Maguchi
Jan 28, 2015·World Journal of Gastroenterology : WJG·Michel KahalehMarc Giovannini
Jan 25, 2017·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Vinay DhirKhek Yu Ho

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cell Migration

Cell migration is involved in a variety of physiological and pathological processes such as embryonic development, cancer metastasis, blood vessel formation and remoulding, tissue regeneration, immune surveillance and inflammation. Here is the latest research.

Carcinoma, Ductal

Ductal carcinoma is a malignant neoplasm involving the ductal systems of any of a number of organs, such as the mammary glands, pancreas, prostate or lacrimal gland. Discover the latest research on ductal carcinoma here.

© 2022 Meta ULC. All rights reserved