Endoscopic Ultrasound-Guided Rendezvous Procedure for a Nondilated, Leaking Pancreatic Duct

Pancreatic duct (PD) leak leading to pancreatic ascites is a serious complication of chronic pancreatitis. Endoscopic management with endoscopic retrograde cholangiopancreatography (ERCP) has been found to be successful; however, if selective cannulation of the PD is unsuccessful, an endoscopic ultr...

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Bibliographic Details
Published in:	ACG case reports journal Vol. 5; no. 1; p. e105
Main Authors:	Prakash, Arjun, Koshy, Anoop K, Rao B, Harshavardhan, Venu, Rama P
Format:	Journal Article
Language:	English
Published:	United States 2018
Online Access:	Get full text
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Summary:	Pancreatic duct (PD) leak leading to pancreatic ascites is a serious complication of chronic pancreatitis. Endoscopic management with endoscopic retrograde cholangiopancreatography (ERCP) has been found to be successful; however, if selective cannulation of the PD is unsuccessful, an endoscopic ultrasound-guided rendezvous procedure can help in bridging PD leaks, provided the duct is dilated. We report a successful endoscopic ultrasound-guided rendezvous procedure in a patient with PD leak, pancreatic ascites, and a nondilated duct with failed ERCP who was a poor candidate for surgery. The pancreatic ascites resolved following the procedure.
ISSN:	2326-3253 2326-3253
DOI:	10.14309/02075970-201805000-00105