Removal of Pancreatic Duct Stones by Endoscopic Ultrasonography-Guided Rendezvous ERCP.
10.3904/kjm.2017.92.6.533
- Author:
Li Chang HSING
1
;
Jinyoung KIM
;
Ha Il KIM
;
Jae Cheol PARK
;
Jisoo HAN
;
Jae Hyuck JUN
;
Myung Hwan KIM
Author Information
1. Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. mhkim@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Chronic pancreatitis;
Lithotripsy;
Cholangiopancreatography;
Endoscopic retrograde
- MeSH:
Aged;
Catheterization;
Cholangiopancreatography, Endoscopic Retrograde*;
Constriction, Pathologic;
Endosonography;
Fluoroscopy;
Humans;
Lithotripsy;
Male;
Pancreatic Ducts*;
Pancreatitis, Chronic
- From:Korean Journal of Medicine
2017;92(6):533-536
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Symptomatic pancreatic ductal stones can be removed nonsurgically by endoscopic retrograde cholangiopancreatography (ERCP), either alone or in combination with extracorporeal shock-wave lithotripsy (ESWL). Here, we report a case of successful endoscopic ultrasonography (EUS)-guided rendezvous ERCP for removal of radiolucent pancreatic stones after failed ERCP and ESWL. A 79-year-old male with painful chronic pancreatitis associated with pancreatic stones and a dilated upstream duct underwent transgastric antegrade pancreatography via EUS-guided pancreatic duct access followed by rendezvous ERCP. In this patient, EUS-guided rendezvous ERCP was successful in salvaging pancreatic duct cannulation after unsuccessful ERCP due to a tight stricture at the pancreatic duct orifice and removing radiolucent pancreatic stones after ESWL, which was unsuccessful because of failure to localize the stones due to their radiolucency under x-ray fluoroscopy.
