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DOI: 10.1055/s-0040-1704981
PANCREATIC ASCITES TREATED BY PANCREATIC STENT THROUGH MINOR PAPILLA BY EUS- GUIDED RENDEZVOUS
Publikationsverlauf
Publikationsdatum:
23. April 2020 (online)
30 years-old with acute alcoholic pancreatitis. Develops severe pancreatic ascites secondary to rupture of the pancreatic duct. It’s not possible to cannulate major papilla in ERCP and EUS is performed appreciating a pancreatic duct < 1 mm.
With 25 G needle, PD is punctured, confirming in the pancreatography the presence of contrast leak and a small collection in the tail which is drained with 10 × 10 mm Axios stent. Subsequently, PD is punctured with 22 G needle and a 0.018” Novagold guide is passed to duodenum through minor papilla. Through rendezvous PD is cannulated and6Fr plastic stent is placed. The ascites was progressively solved after endoscopic procedure.