Recurrent Pancreatitis in a young Girl. Therapeutic Endoscopy Interventions

Abstract Text Recurrent pancreatitis (RP) is relatively uncommon in young people. It is usually associated with genetic mutations or congenital pancreatic abnormalities. A 20-year-old girl with RP is presented. TIGAR-O evidenced a presumptive stenosis at the Santorini-Wirsung duct junction (SWJ), with a small stone associated, and Wirsung distal duct dilation. The Wirsung duct, at the pancreatic head, showed a very thin caliber and stenosis at the SWJ. The challenge was, how to remove the pancreatic stone in this setting. The therapeutic endoscopic interventions were ERCPs (4), pancreatic sphincterotomy and stent placement, Wirsung duct dilation at the head and SWJ, and pancreatoscopy with microbasquet stone extraction. The main complication included pancreatic juice leaking, which was managed conservatively. The follow-up after 16 months evidence, right now, no more pancreatitis episodes [1] [2] [3].

Video  http://data.process.y-congress.com/ScientificProcess/Data//106/570/1428/c0f99ff1-77ef-4440-aa2a-c13dbd8e8edd/Uploads/16849_Recurrent_pancreatitis%20young%20girl.mp4

 

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Conflicts of Interest

Authors do not have any conflict of interest to disclose.

• References

• 1 Strand DS, Law RJ, Yang D, Elmunzer BJ.. AGA Clinical Practice Update on the Endoscopic Approach to Recurrent Acute and Chronic Pancreatitis: Expert Review. Gastroenterology 2022; 163 (4): 1107-1114 Epub 2022 Aug 22. PMID: 36008176 Review
• 2 Neuhaus H.. Therapeutic pancreatic endoscopy. Endoscopy 2002; 34 (1): 54-62 PMID: 11778130 Review
• 3 Guo A, Poneros JM.. The Role of Endotherapy in Recurrent Acute Pancreatitis. Gastrointest Endosc Clin N Am 2018; 28 (4): 455-476 Epub 2018 Aug 1. PMID: 30241638 Review

Publication History

Article published online:
27 March 2025