| セッション情報 |
International Session8(消化器内視鏡学会・消化器病学会合同)
Recent advances in Interventional EUS 《Video》
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| タイトル |
内IS8-7：Technical and clinical outcomes of EUS-guided pancreatic drainage in patients with failed ERCP.
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| 演者 |
N. Ikeuchi（The Department of Gastroenterology and Hepatology, Tokyo Medical University） |
| 共同演者 |
T. Kurihara（The Department of Gastroenterology and Hepatology, Tokyo Medical University）, T. Itoi（The Department of Gastroenterology and Hepatology, Tokyo Medical University） |
| 抄録 |
Background: EUS-guided pancreatic drainage has been advocated as a rescue treatment for management of patients in whom ERCP is technically unsuccessful. The aim of this study is to evaluate the feasibility and efficacy of EUS-guided drainage.Patients: This study involved 17 consecutive patients with relapse symptomatic pancreatitis or epigastric pain for failed ERP. Results: A total of 21 EUS-guided PD drainage procedures were performed in 17 patients (age: mean 60.1). Stent placement using the EUS-guided rendezvous technique was attempted in all cases. The rendezvous technique was successful in 14 of 21 procedures (66.7%). 5 of 7 procedures with an unsuccessful rendezvous technique successfully underwent EUS-PD stenting. In the 2 remaining procedures (9.5%), puncture and pancreatography were successful; however, antegrade passage of the guidewire failed. Complications (5.6%) related to EUS-guided PD puncture included a pancreatic pseudocyst with an aneurysm in the splenic artery. Symptom and recurrent pancreatitis improved in all patients who successfully underwent EUS-PD drainage. Conclusion: The EUS-guided decompression of PD is a feasible and effective treatment for the management of symptomatic high pressure PD due to stricture of the PD and/or stenotic pancreatodigestive anastomosis. |
| 索引用語 |
Interventional EUS, Pancreatic drainage |
