Removal of Pancreatic Duct Stones by Endoscopic Ultrasonography-Guided Rendezvous ERCP / 대한내과학회지
Korean Journal of Medicine
; : 533-536, 2017.
Article
em Ko
| WPRIM
| ID: wpr-103598
Biblioteca responsável:
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.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Ductos Pancreáticos
/
Litotripsia
/
Cateterismo
/
Fluoroscopia
/
Colangiopancreatografia Retrógrada Endoscópica
/
Constrição Patológica
/
Endossonografia
/
Pancreatite Crônica
Limite:
Aged
/
Humans
/
Male
Idioma:
Ko
Ano de publicação:
2017
Tipo de documento:
Article