Endoscopy 2025; 57(S 02): S372-S373
DOI: 10.1055/s-0045-1805936
Abstracts | ESGE Days 2025
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Antegrade pancreatography vía EUS-guided pancreaticogastrostomy: lithotripsy and ‘ring drainage’ (gastro-pancreato-duodenal)

J B Gornals
1   Bellvitge University Hospital, L'Hospitalet de Llobregat, Barcelona, Spain
2   Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, Spain
3   Universitat de Barcelona, Barcelona, Spain
,
J Escuer-Turu
1   Bellvitge University Hospital, L'Hospitalet de Llobregat, Barcelona, Spain
,
S Homdedeu-Montaña
1   Bellvitge University Hospital, L'Hospitalet de Llobregat, Barcelona, Spain
,
M Puigcerver-Mas
1   Bellvitge University Hospital, L'Hospitalet de Llobregat, Barcelona, Spain
,
D Luna-Rodriguez
1   Bellvitge University Hospital, L'Hospitalet de Llobregat, Barcelona, Spain
,
S Maisterra-Santos
1   Bellvitge University Hospital, L'Hospitalet de Llobregat, Barcelona, Spain
,
J Busquets-Barenys
1   Bellvitge University Hospital, L'Hospitalet de Llobregat, Barcelona, Spain
› Author Affiliations
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Abstract Text A 58-year-old man with abdominal pain related to a ductal stenosis, lithiasis and chronic pancreatitis. After a failed ERCP, an EUS-guided pancreatic duct intervention was considered. 1er procedure: EUS-guided pancreaticogastrostomy (PG) was achieved using a FCSEMS and co-axial plastic-stent as antimigration measure. 2º(10-weeks): Antegrade per-oral-pancreatoscopy through the PG. EH-lithotripsy allowed lithiasis fragmentation; and antegrade guidewire advancement until reaching the duodenum. FCSEMS deployment with a longer plastic-stent ensuring a ‘ring drainage’.3er (8-weeks): exchange of SEMS to two plastic-stents. Even though the limited evidence, a ring drainage seems to be more physiological, offering a double drainage, minimizing recurrence risk and pancreatic atrophy [1] [2] [3].

Video http://data.process.y-congress.com/ScientificProcess/Data//106/570/1428/f4fb6c33-8686-401b-9e72-aa54a68e5633/Uploads/16849_VE_Project%20_RingDrainage_10_11_24-converted_1%203.mp4



Publication History

Article published online:
27 March 2025

© 2025. European Society of Gastrointestinal Endoscopy. All rights reserved.

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