Endoscopic Ultrasound-Guided Rendezvous Pancreatic Duct Stenting in Pancreas Divisum Using Modified Cannula

Abstract

This video is of a 65 year old female patient with history of systemic hypertension, type 2 diabetes and coronary artery disease on medical management. She presented with features of acute pancreatitis which was managed conservatively and imaging showed features of chronic pancreatitis with dilated pancreatic duct and pancreas divisum was suggested. She had two further episodes of acute pancreatitis and was managed conservatively. Pancreatic stenting was suggested but during ERCP minor papillae couldn't be identified. Hence, EUS guided Rendez - vous pancreatic duct puncture and minor papillae stenting was done with the help of a modified cannula.

Keywords

Pancreatic stenting - endoscopic ultrasound - pancreas divisum - Rendez - vous technique - minor papillae - modified cannula

This video is of a 65-year-old female patient with a history of systemic hypertension, type 2 diabetes, and coronary artery disease on medical management. She presented with features of acute pancreatitis that was managed conservatively and imaging showed features of chronic pancreatitis with dilated pancreatic duct and pancreas divisum was suggested. She had two further episodes of acute pancreatitis and was managed conservatively. Pancreatic stenting was suggested, but during endoscopic retrograde cholangiopancreatography minor papillae could not be identified. Hence, endoscopic ultrasound-guided rendezvous pancreatic duct puncture and minor papillae stenting were done with the help of a modified cannula.

Video 1 Endoscopic Ultrasound – Guided Rendezvous Pancreatic Duct Stenting in Pancreas Divisum Using Modified Cannula.

Conflict of Interest

None declared.

Publikationsverlauf

Artikel online veröffentlicht:
09. Februar 2024