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Endoscopic Ultrasound-Guided Rendezvous Procedure for a Nondilated, Leaking Pancreatic Duct

2018; Lippincott Williams & Wilkins; Volume: 5; Issue: 12 Linguagem: Inglês

10.14309/crj.2018.105

2326-3253

Arjun Prakash, Anoop K. Koshy, Harshavardhan B. Rao, Rama P. Venu,

Pancreatic and Hepatic Oncology Research

Pancreatic duct (PD) leak leading to pancreatic ascites is a serious complication of chronic pancreatitis. Endoscopic management with endoscopic retrograde cholangiopancreatography (ERCP) has been found to be successful; however, if selective cannulation of the PD is unsuccessful, an endoscopic ultrasound-guided rendezvous procedure can help in bridging PD leaks, provided the duct is dilated. We report a successful endoscopic ultrasound-guided rendezvous procedure in a patient with PD leak, pancreatic ascites, and a nondilated duct with failed ERCP who was a poor candidate for surgery. The pancreatic ascites resolved following the procedure.