Pancreatic Disorders & Therapy
Open Access

Atsushi Nakajima

Publications

• Research Article
  Traversibility to the Papilla Decides the Feasibility of EUS-guided Cholangio-Pancreatic Access for Patients with Difficult Biliary Cannulation
  Author(s): Kensuke Kubota, Yuji Fujita, Takamtsu Sato, Seitaro Watanabe, Yusuke Sekino, Kunihiro Hosono and Atsushi Nakajima Kensuke Kubota, Yuji Fujita, Takamtsu Sato, Seitaro Watanabe, Yusuke Sekino, Kunihiro Hosono and Atsushi Nakajima
  
  Background: EUS-guided direct cholangio-pancreatic access (EUS-DCP) may be useful in cases with an inaccessible papilla, however, it is challenging due to the technical difficulty and high complication rate. EUS-rendezvous for antegrade cholangio-pancreatography (EUS-RV) also is feasible in these patients. Aims: To evaluate the indications, feasibility and safety of the EUS-DCP/RV in our case series. Methods: The success and complication rates were analyzed and compared between patients undergoing EUSDCP and those undergoing EUS-RV. Results: Sixteen patients underwent EUS-DCP, including EUS-hepatogastrostomy in four and EUScholedochduodenostomy in twelve patients. Six patients underwent EUS-RV, including two patients who required double–metallic stent deployment for malignant biliar.. View More»
  DOI: 10.4172/2165-7092.S3-003

  Abstract PDF

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