Endoscopic Ultrasound-Guided Pancreaticogastrostomy

AbstractIn patients with symptomatic dilatation of the pancreatic duct in whom the conventional approach for the placement of an endoscopic transpapillary drainage catheter has been unsuccessful, endoscopic ultrasound (EUS)-guided pancreatic duct drainage (EUPD) has been introduced as an alternative to surgery or a rescue therapy after surgery. Here is demonstrated an EUS-guided pancreaticogastrostomy (EUS-PG) in a patient after acute necrotizing pancreatitis and endoscopic retrograde pancreaticography (ERP) showing a complete rupture of the pancreatic duct behind the head without filling of the duct in the corpus and tail of the pancreas. The dilated pancreatic duct in the corpus and tail of the pancreas looks for a disconnected pancreatic tail syndrome. This article is part of an expert video encyclopedia