Endoscopic Minor Papilla Intervention in a Patient with Traumatic Ductal Leak without Pancreas Divisum.
- Author:
Jong Ha PARK
1
;
Myung Hwan KIM
;
Moon Hee SONG
;
Do Hyun PARK
;
Jung Joon CHOI
;
Sung Hee PYO
;
Jin Ook JEONG
;
Sung Doo KIM
;
Hyun Young SON
;
Sang Soo LEE
;
Dong Wan SEO
;
Sung Koo LEE
Author Information
1. Department of Internal Medicine, Asan Medical Center, Ulsan University College of Medicine, Seoul, Korea. mhkim@amc.seoul.kr
- Publication Type:Original Article
- Keywords:
Minor papilla;
Ductal disruption;
Pancreatic rendezvous technique
- MeSH:
Ampulla of Vater;
Constriction, Pathologic;
Drainage;
Follow-Up Studies;
Humans;
Middle Aged;
Pancreas*;
Pancreatic Ducts;
Stents
- From:Korean Journal of Gastrointestinal Endoscopy
2004;28(5):273-276
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Endoscopic treatment has been performed in a variety of pancreatic ductal diseases such as stones, strictures, sphincter stenosis, and ductal disruption and is known to be an effective therapy in some patients. Endoscopic treatment through the minor papilla is frequently done in patients with pancreas divisum. Few data are, however, available concerning endoscopic minor papilla interventions in patients without pancreas divisum but with difficult access to the main pancreatic duct at the major duodenal papilla. We present a 49-year-old man, who had pancreatic ductal leak caused by previous pancreatic surgery. He was treated by endoscopic naso-pancreatic drainage and pancreatic ductal stenting through the minor papilla, so called pancreatic rendezvous technique. Follow-up ductography after two-weeks of naso-pancreatic drainage showed no leak. This case shows that minor papillar orifice could be an alternative access for therapeutic endoscopic intervention in a patient with traumatic pancreatic ductal leak without pancreas divisum.
