Skip to main content
SpringerLink
Log in

EUS-Guided Pancreatico-Digestive Anastomosis

  • Reference work entry
  • First Online:
Gastrointestinal and Pancreatico-Biliary Diseases: Advanced Diagnostic and Therapeutic Endoscopy

Abstract

EUS-guided pancreatico-digestive anastomosis (EGPDA) had mainly been promoted during the last decade and allows the endoscopic management of obstructive pancreatitis not accessible to endoscopic retrograde drainage (ERP). Many techniques are available for performing EGPDA such as Rendezvous technique-assisted ERP (EUS RV) or anterograde EUS-guided pancreatic duct drainage (EUS PDD) including different transmural drainages, i.e., EUS-guided wirsungogastrostomy (EGWG), EUS-guided wirsungobulbostomy (EGWB), and also EUS-guided wirsungojejunostomy (EGWJ). EUS-EGPDA including EUS-RV procedure and EUS-PDD is technically demanding with a nonnegligible morbidity rate. In a total of 398 patients reported on 13 series, the mean technical success rate was 88.2% (48–100%) and the mean clinical success rate was 75.4% (50–100%). Adverse events occurred with a mean rate of 16.2% (range 6–26.7%) including bleeding, pancreatitis, leakage, pancreatic fluid collection, and rarely perforation. When it is performed in an expert center, EGPDA offers a minimally invasive, effective, and safe alternative to pancreatic surgical drainage in patients with symptomatic MPD dilatation with failure or impossibility of ERCP.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 699.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 849.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Krafft MR, Nasr JY (2019) Antegrade endoscopic ultrasound-guided pancreatic duct drainage: a technical review. Dig Dis Sci 64(7):1770–1781

    Article  Google Scholar 

  2. Tyberg A, Sharaiha RZ, Kedia P, Kumta N, Gaidhane M, Artifon E et al (2017) EUS-guided pancreatic drainage for pancreatic strictures after failed ERCP: a multicenter international collaborative study. Gastrointest Endosc 85(1):164–169

    Article  Google Scholar 

  3. Chen YI, Levy MJ, Moreels TG, Hajijeva G, Will U, Artifon EL et al (2017) An international multicenter study comparing EUS-guided pancreatic duct drainage with enteroscopy-assisted endoscopic retrograde pancreatography after Whipple surgery. Gastrointest Endosc 85:170–177

    Article  CAS  Google Scholar 

  4. NaKai Y, Kogure H, Isayama H et al (2019) Endoscopic ultrasound-guided pancreatic duct drainage. Saudi J Gastroenterol 25:210–217

    Article  Google Scholar 

  5. Matsunami Y, Itoi T, Sofuni A et al (2018) Evaluation of a new stent for EUS-guided pancreatic duct drainage: long-term follow-up outcome. Endosc Int Open 6:178–180

    Google Scholar 

  6. Oh D, Park DH, Cho MK, Nam K, Song TJ, Lee SS et al (2016) Feasibility and safety of a fully covered self-expandable metal stent with antimigration properties for EUS-guided pancreatic duct drainage: early and midterm outcomes (with video). Gastrointest Endosc 83:366–73e2

    Article  Google Scholar 

  7. Kurihara T, Itoi T, Sofuni A et al (2013) Endoscopic ultrasound-guided pancreatic duct drainage after failed ERCP in patients with malignant and benign pancreatic duct obstructions. Dig Endosc 25:109–116

    Article  Google Scholar 

  8. Shimamura Y, Mosko J, Teshima J et al (2017) Endoscopic ultrasound-guided pancreatic duct intervention. Clin Endosc 50:112–116

    Article  Google Scholar 

  9. Giovannini M (2017) Endoscopic ultrasound-guided pancreatic duct drainage: ready for the prime time ? Endosc Ultrasound 6:281–284

    Article  Google Scholar 

  10. Will U, Reichel A, Fueldner F et al (2015) Endoscopic ultrasound-guided drainage for patients with symptomatic obstruction and enlargement of the pancreatic duct. World J Gastroenterol 21:13140–13151

    Article  CAS  Google Scholar 

  11. Tessier G, Bories E, Arvanitakis M, Hittelet A, Pesenti C, Le Moine O et al (2007) EUS-guided pancreatogastrostomy and pancreatobulbostomy for the treatment of pain in patients with pancreatic ductal dilatation inaccessible for transpapillary endoscopic therapy. Gastrointest Endosc 65:233–241

    Article  Google Scholar 

  12. Ergun M, Aouattah T, Gillain C, Gigot JF, Hubert C, Deprez PH (2011) Endoscopic ultrasound-guided transluminal drainage of pancreatic duct obstruction: long-term outcome. Endoscopy 43:518–525

    Article  CAS  Google Scholar 

  13. Itoi T, Kasuya K, Sofuni A et al (2013) Endoscopic ultrasound-guided pancreatic duct access: techniques and litérature review of pancreatography, transmural drainage and rendezvous techniques. Dig Endosc 25:241–252

    Article  Google Scholar 

  14. Francois E, Kahaleh M, Giovannini M, Matos C, Deviere J (2002) EUS-guided pancreaticogastrostomy. Gastrointest Endosc 56:128–133

    Article  Google Scholar 

  15. Kahaleh M, Hernandez AJ, Tokar J, Adams RB, Shami VM, Yeaton P (2007) EUS-guided pancreaticogastrostomy: analysis of its efficacy to drain inaccessible pancreatic ducts. Gastrointest Endosc 65(2):224–230

    Article  Google Scholar 

  16. Brauer BC, Chen YK, Fukami N, Shah RJ (2009) Single-operator EUS-guided cholangiopancreatography for difficult pancreaticobiliary access (with video). Gastrointest Endosc 70(3):471–479

    Article  Google Scholar 

  17. Barkay O, Sherman S, McHenry L, Yoo BM, Fogel EL, Watkins JL et al (2010) Therapeutic EUS-assisted endoscopic retrograde pancreatography after failed pancreatic duct cannulation at ERCP. Gastrointest Endosc 71(7):1166–1173

    Article  Google Scholar 

  18. Fujii LL, Topazian MD, Abu Dayyeh BK, Baron TH, Chari ST, Farnell MB et al (2013) EUS-guided pancreatic duct intervention: outcomes of a single tertiary-care referral center experience. Gastrointest Endosc 78:854–64 e1

    Article  Google Scholar 

  19. James TW, Baron TH (2018) Antegrade pancreatoscopy via EUS-guided pancreaticogastrostomy allows removal of obstructive pancreatic duct stones. Endosc Int Open 6:E735–E738

    Article  Google Scholar 

  20. Uchida D, Kato H, Saragai Y, Takada S, Mizukawa S, Muro S et al (2018) Indications for endoscopic ultrasound-guided pancreatic drainage: for benign or malignant cases? Can J Gastroenterol Hepatol 2018:8216109

    PubMed  PubMed Central  Google Scholar 

  21. Cahen DL, Gouma DJ, Nio Y, Rauws EA, Boermeester MA, Busch OR et al (2007) Endoscopic versus surgical drainage of the pancreatic duct in chronic pancreatitis. N Engl J Med 356:676–684

    Article  CAS  Google Scholar 

  22. Dhir V, Isayama H, Itoi T, Almadi M, Siripun A, Teoh AY et al (2017) Endoscopic ultrasonography-guided biliary and pancreatic duct interventions. Dig Endosc 29:472–485

    Article  Google Scholar 

  23. Dhir V, Itoi T, Pausawasdi N, Khashab MA, Perez-Miranda M, Sun S et al (2017) Evaluation of a novel, hybrid model (Mumbai EUS II) for stepwise teaching and training in EUS-guided biliary drainage and rendezvous procedures. Endosc Int Open 5:E1087–E1095

    Article  Google Scholar 

  24. Teoh AY, Dhir V, Kida M, Yasuda I, Jin ZD, Seo DW et al (2018) Consensus guidelines on the optimal management in interventional EUS procedures: results from the Asian EUS group RAND/UCLA expert panel. Gut 67:1209–1228

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Gastroenterology and Endoscopy, Hôpital Nord, Marseille Cedex, France

    Marc Barthet

  2. Service Hépato Gastro-entérologie, Hôpital Nord, Marseille, France

    Arthur Falque & Jean-Michel Gonzalez

Authors
  1. Marc Barthet
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Arthur Falque
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Jean-Michel Gonzalez
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Marc Barthet .

Editor information

Editors and Affiliations

  1. Division of Gastroenterology and Gastrointestinal Endoscopy IRCCS, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy

    Pier Alberto Testoni

  2. Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan

    Haruhiro Inoue

  3. Department of Gastroenterology and Hepatology, Mayo Clinic Florida, Jacksonville, FL, USA

    Michael B. Wallace

Section Editor information

  1. Gastrointestinal Endoscopy Unit, Vita‐Salute San Raffaele University, Milan, Italy

    Pier Alberto Testoni

Rights and permissions

Reprints and permissions

Copyright information

© 2022 Springer Nature Switzerland AG

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Barthet, M., Falque, A., Gonzalez, JM. (2022). EUS-Guided Pancreatico-Digestive Anastomosis. In: Testoni, P.A., Inoue, H., Wallace, M.B. (eds) Gastrointestinal and Pancreatico-Biliary Diseases: Advanced Diagnostic and Therapeutic Endoscopy. Springer, Cham. https://doi.org/10.1007/978-3-030-56993-8_102

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-56993-8_102

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-56992-1

  • Online ISBN: 978-3-030-56993-8

  • eBook Packages: MedicineReference Module Medicine

Publish with us

Policies and ethics

Search

Navigation