ENDOSCOPIC ULTRASOUND FINE NEEDLE ASPIRATION (EUS-FNA) OF A PANCREATIC MASS AFTER ROUX-EN-Y GASTRIC RESECTION - A LAPAROSCOPIC ASSISTED TRANS-JEJUNAL APPROACH

EUS in patients with altered upper GI anatomy represents a real challenge. We present the case of a 48 year male known with gastric resection for peptic ulcer disease with Roux-en-Y anastomosis and cholecystectomy who came to our hospital for jaundice and weight loss. Both CT scan and MRCP showed an expansive process of the head of the pancreas. EUS FNA laparoscopically assisted-trans-jejunal approach was performed and the histopathological exam revealed a mass-forming chronic pancreatitis. In spite of the scarcity of data, this approach has proved to be an appropriate solution in order to put a correct diagnosis