Pancreatic Disorders & Therapy
Open Access
ISSN: 2165-7092
+44 7868 792050
ISSN: 2165-7092
+44 7868 792050
Atsushi Nakajima
Japan
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 NakajimaKensuke 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