Endoscopic Ultrasound (EUS)-Guided Pancreatic Duct Drainage: The Basics of When and How to Perform EUS-Guided Pancreatic Duct Interventions
Despite the advances in endoscopy, endoscopic ultrasound-guided pancreatic duct drainage (EUS-PDD) remains a technically challenging procedure. Technical success rates are greater than 70%; however, the average rate of adverse events is nearly 20%, which increases to 55% when stent migration is incl...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Gastrointestinal Endoscopy
2016-03-01
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| Series: | Clinical Endoscopy |
| Subjects: | |
| Online Access: | http://www.e-ce.org/upload/pdf/ce-2016-011.pdf |
| _version_ | 1827614829591920640 |
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| author | Christopher G. Chapman Irving Waxman Uzma D. Siddiqui |
| author_facet | Christopher G. Chapman Irving Waxman Uzma D. Siddiqui |
| author_sort | Christopher G. Chapman |
| collection | DOAJ |
| description | Despite the advances in endoscopy, endoscopic ultrasound-guided pancreatic duct drainage (EUS-PDD) remains a technically challenging procedure. Technical success rates are greater than 70%; however, the average rate of adverse events is nearly 20%, which increases to 55% when stent migration is included. Until recently, a significant difficulty with this technique was the absence of dedicated devices. Proper patient selection is of utmost importance, and EUS-PDD should be reserved for patients who have failed endoscopic retrograde pancreatography. Furthermore, EUS-PDD must be performed by experienced endoscopists who are familiar with the technique. The most common indications include chronic pancreatitis induced strictures and stones, disconnected pancreatic ducts, inaccessible ampulla, and post-surgical altered anatomy. This manuscript will review the accessories used, techniques employed, and published literature reporting outcomes as well as adverse events regarding EUS-PDD. |
| first_indexed | 2024-03-09T09:00:29Z |
| format | Article |
| id | doaj.art-abd6b8f6e93c489b88140104ac9ec3c6 |
| institution | Directory Open Access Journal |
| issn | 2234-2400 2234-2443 |
| language | English |
| last_indexed | 2024-03-09T09:00:29Z |
| publishDate | 2016-03-01 |
| publisher | Korean Society of Gastrointestinal Endoscopy |
| record_format | Article |
| series | Clinical Endoscopy |
| spelling | doaj.art-abd6b8f6e93c489b88140104ac9ec3c62023-12-02T11:47:26ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432016-03-0149216116710.5946/ce.2016.0116865Endoscopic Ultrasound (EUS)-Guided Pancreatic Duct Drainage: The Basics of When and How to Perform EUS-Guided Pancreatic Duct InterventionsChristopher G. Chapman0Irving Waxman1Uzma D. Siddiqui Center for Endoscopic Research and Therapeutics (CERT), University of Chicago Medicine, Chicago, IL, USA Center for Endoscopic Research and Therapeutics (CERT), University of Chicago Medicine, Chicago, IL, USADespite the advances in endoscopy, endoscopic ultrasound-guided pancreatic duct drainage (EUS-PDD) remains a technically challenging procedure. Technical success rates are greater than 70%; however, the average rate of adverse events is nearly 20%, which increases to 55% when stent migration is included. Until recently, a significant difficulty with this technique was the absence of dedicated devices. Proper patient selection is of utmost importance, and EUS-PDD should be reserved for patients who have failed endoscopic retrograde pancreatography. Furthermore, EUS-PDD must be performed by experienced endoscopists who are familiar with the technique. The most common indications include chronic pancreatitis induced strictures and stones, disconnected pancreatic ducts, inaccessible ampulla, and post-surgical altered anatomy. This manuscript will review the accessories used, techniques employed, and published literature reporting outcomes as well as adverse events regarding EUS-PDD.http://www.e-ce.org/upload/pdf/ce-2016-011.pdfEndosonographyStentsPancreatic ductsDrainagePancreatic duct intervention |
| spellingShingle | Christopher G. Chapman Irving Waxman Uzma D. Siddiqui Endoscopic Ultrasound (EUS)-Guided Pancreatic Duct Drainage: The Basics of When and How to Perform EUS-Guided Pancreatic Duct Interventions Clinical Endoscopy Endosonography Stents Pancreatic ducts Drainage Pancreatic duct intervention |
| title | Endoscopic Ultrasound (EUS)-Guided Pancreatic Duct Drainage: The Basics of When and How to Perform EUS-Guided Pancreatic Duct Interventions |
| title_full | Endoscopic Ultrasound (EUS)-Guided Pancreatic Duct Drainage: The Basics of When and How to Perform EUS-Guided Pancreatic Duct Interventions |
| title_fullStr | Endoscopic Ultrasound (EUS)-Guided Pancreatic Duct Drainage: The Basics of When and How to Perform EUS-Guided Pancreatic Duct Interventions |
| title_full_unstemmed | Endoscopic Ultrasound (EUS)-Guided Pancreatic Duct Drainage: The Basics of When and How to Perform EUS-Guided Pancreatic Duct Interventions |
| title_short | Endoscopic Ultrasound (EUS)-Guided Pancreatic Duct Drainage: The Basics of When and How to Perform EUS-Guided Pancreatic Duct Interventions |
| title_sort | endoscopic ultrasound eus guided pancreatic duct drainage the basics of when and how to perform eus guided pancreatic duct interventions |
| topic | Endosonography Stents Pancreatic ducts Drainage Pancreatic duct intervention |
| url | http://www.e-ce.org/upload/pdf/ce-2016-011.pdf |
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