Endoscopy 2020; 52(S 01): S131
DOI: 10.1055/s-0040-1704403
ESGE Days 2020 ePoster Podium presentations
Thursday, April 23, 2020 09:30 – 10:00 EUS for lymph nodes ePoster Podium 2
© Georg Thieme Verlag KG Stuttgart · New York

TARGETING THE BULLSEYE! ENDOSCOPIC MANAGEMENT OF A COMPLEX POST-SURGICAL AMPULLECTOMY STENOSIS

P Gkolfakis
1   Erasme University Hospital, Université Libre de Brussels, Department of Gastroenterology, Hepatopancreatology and Digestive Oncology, Brussels, Belgium
,
H Neuhaus
2   Evangelisches Krankenhaus Düsseldorf, Department of Gastroenterology, Düssseldorf, Germany
,
M Giovannini
3   Paoli-Calmettes Institute, Endoscopic Unit, Marseilles, France
,
J Devière
1   Erasme University Hospital, Université Libre de Brussels, Department of Gastroenterology, Hepatopancreatology and Digestive Oncology, Brussels, Belgium
,
D Blero
1   Erasme University Hospital, Université Libre de Brussels, Department of Gastroenterology, Hepatopancreatology and Digestive Oncology, Brussels, Belgium
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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A 60-years-old woman presented 5 episodes of acute pancreatitis a few months after having undergone laparoscopic ampullectomy of a large peri-ampullary adenoma. We demonstrate the endoscopic management of an anastomotic stricture and the effect of secretin administration for spotting the non-visible pancreatico-digestive orifice. During ERCP the orifice was not identified, but soon after secretin injection a punctiform orifice appeared. However, serial cannulation attempts using an ultra-thin sphincterotome and a dilator failed. Pancreatic duct cannulation was only possible with a 6Fr cystotome and pure current application. The stenosis was dilated using a CRE-balloon and a plastic stent was left in place.