Endosonography-Guided Pancreatic Duct Drainage for Chronic Pancreatitis : A Case Report and Review

Abstract EN

A 50-year-old man was admitted to our department, complaining of epigastric pain and high fever.

CT revealed a pseudocyst at the pancreatic head with upstream dilatation of the pancreatic duct (PD) and fluid collection surrounding the pancreas.

Endosonography-guided PD drainage (ESPD) was performed because of unsuccessful ERCP.

With a curved linear array echoendoscope, a 7.2 F catheter was placed in the PD.

Laboratory data showed improvement in a few days and revealed disappearance of the fluid collection.

Ten days after ESPD, a 7 F stent was placed in the PD via the puncture tract across the papilla of Vater followed by transpapillary replacement with a 10 F stent.

CT showed a reduction in diameter of the PD and disappearance of the pseudocyst.

ESPD is a feasible and useful procedure in selected patients with chronic pancreatitis showing stenosis of the main PD when transpapillary approach is impossible.