Removal of Pancreatic Duct Stones by Endoscopic Ultrasonography-Guided Rendezvous ERCP / 대한내과학회지
Korean Journal of Medicine
; : 533-536, 2017.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-103598
Responsible library:
WPRO
ABSTRACT
Symptomatic pancreatic ductal stones can be removed nonsurgically by endoscopic retrograde cholangiopancreatography (ERCP), either alone or in combination with extracorporeal shock-wave lithotripsy (ESWL). Here, we report a case of successful endoscopic ultrasonography (EUS)-guided rendezvous ERCP for removal of radiolucent pancreatic stones after failed ERCP and ESWL. A 79-year-old male with painful chronic pancreatitis associated with pancreatic stones and a dilated upstream duct underwent transgastric antegrade pancreatography via EUS-guided pancreatic duct access followed by rendezvous ERCP. In this patient, EUS-guided rendezvous ERCP was successful in salvaging pancreatic duct cannulation after unsuccessful ERCP due to a tight stricture at the pancreatic duct orifice and removing radiolucent pancreatic stones after ESWL, which was unsuccessful because of failure to localize the stones due to their radiolucency under x-ray fluoroscopy.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Pancreatic Ducts
/
Lithotripsy
/
Catheterization
/
Fluoroscopy
/
Cholangiopancreatography, Endoscopic Retrograde
/
Constriction, Pathologic
/
Endosonography
/
Pancreatitis, Chronic
Limits:
Aged
/
Humans
/
Male
Language:
Korean
Journal:
Korean Journal of Medicine
Year:
2017
Document type:
Article