| Autor: |
Hiroshi Shimizu, Rei Suzuki, Yuki Sato, Tadayuki Takagi, Naoto Abe, Hiroki Irie, Mitsuru Sugimoto, Takumi Yanagita, Ryoichiro Kobashi, Minami Hashimoto, Tsunetaka Kato, Mika Takasumi, Jun Nakamura, Takuto Hikichi, Hiromasa Ohira |
| Jazyk: |
angličtina |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
DEN Open, Vol 2, Iss 1, Pp n/a-n/a (2022) |
| Druh dokumentu: |
article |
| ISSN: |
2692-4609 |
| DOI: |
10.1002/deo2.114 |
| Popis: |
ABSTRACT Pancreatic jejunostomy stricture (PJS) is one of the major late complications after pancreaticoduodenectomy. Endoscopic ultrasound‐guided pancreatic drainage (EUS‐PD) is considered a salvage treatment for symptomatic PJS after endoscopic retrograde pancreatography failure; however, the technical success rate of the endoscopic treatment of PJS remains unsatisfactory, mainly due to surgically altered anatomy. Herein, we describe a case of PJS successfully treated with transjejunal EUS‐PD using a forward‐viewing echoendoscope. A 62‐year‐old man who suffered from repetitive severe back pain due to PJS was referred to our hospital. Since transgastric EUS‐PD was difficult, we attempted transjejunal EUS‐PD using a forward‐viewing echoendoscope. To facilitate scope insertion, we first straightened the afferent jejunal loop and placed a stiff guidewire. With this scheme, we successfully performed transjejunal EUS‐PD and placed a 5‐Fr plastic stent. In conclusion, this technique is useful for treating patients with PJS when transgastric EUS‐PD is difficult. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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