Endoscopic Ultrasound-Guided Pancreatic Duct Drainage.
| Autor: | Trieu JA; Division of Gastroenterology, Washington University in St. Louis, 660 South Euclid Avenue, MSC 8124-21-427, St Louis, MO 63110, USA. Electronic address: https://twitter.com/TrieuMD., Seven G; Division of Gastroenterology, Bezmialem Foundation University, Bezmialem Vakif University School of Medicine, Adnan Menderes Boulevard, Fatih, Istanbul 34093, Turkey., Baron TH; Division of Gastroenterology and Hepatology, University of North Carolina, 130 Mason Farm Road, Bioinformatics Building CB# 7080, Chapel Hill, NC 27599-7080, USA. Electronic address: todd_baron@med.unc.edu. |
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| Jazyk: | angličtina |
| Zdroj: | Gastrointestinal endoscopy clinics of North America [Gastrointest Endosc Clin N Am] 2024 Jul; Vol. 34 (3), pp. 501-510. Date of Electronic Publication: 2024 Mar 13. |
| DOI: | 10.1016/j.giec.2024.02.002 |
| Abstrakt: | Endoscopic ultrasound-guided pancreatic duct drainage (EUS-PDD) is a method of decompressing the pancreatic duct (PD) if unable to access the papilla or surgical anastomosis, particularly in nonsurgical candidates. The 2 types of EUS-PDD are EUS-assisted pancreatic rendezvous (EUS-PRV) and EUS-guided pancreaticogastrostomy (EUS-PG). EUS-PRV should be considered in patients with accessible papilla or anastomosis, while EUS-PG is a comparable alternative in surgically altered foregut anatomy. While technical and clinical successes range from 79% to 100%, adverse events occur in approximately 20%. A multidisciplinary approach that considers the patient's anatomy, clinical indication, and long-term goals should be discussed with surgical and interventional radiology colleagues. Competing Interests: Disclosures The article has been read and approved by all the authors. G. Seven and J.A. Trieu have nothing to disclose. T.H. Baron is a consultant and speaker for Ambu, Boston Scientific, Cook Endoscopy, Medtronic, Olympus America, ConMed, and W.L. Gore. (Copyright © 2024 Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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