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Endoscopic Ultrasound-Guided Pancreatic Duct Drainage (EUS-PD)

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Interventional Endoscopic Ultrasound

Abstract

Endoscopic ultrasound (EUS) has evolved from primarily a diagnostic tool to a therapeutic one with the recent advances in endoscopic equipment and accessories. An emerging indication of EUS is therapeutic drainage of the pancreatic duct (PD). Until recently, percutaneous or surgical drainage were the primary therapeutic alternatives for patients who failed conventional endoscopic retrograde cholangiopancreatography (ERCP); however, EUS-guided pancreatic duct drainage (EUS-PD) now offers patients a minimally invasive, safe, and efficacious alternative. While the procedure continues to remain performed at highly specialized centers, further refinement and standardization of the procedure as well as improvement in technology will likely allow for adoption at other centers.

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References

  1. Erickson RA. EUS-guided pancreaticogastrostomy: invasive endosonography coming of age. Gastrointest Endosc. 2007;65(2):231–2.

    Article  Google Scholar 

  2. Fujii-Lau LL, Levy MJ. Endoscopic ultrasound-guided pancreatic duct drainage. J Hepatobiliary Pancreat Sci. 2015;22(1):51–7.

    Article  Google Scholar 

  3. Giovannini M. EUS-guided pancreatic duct drainage: ready for prime time? Gastrointest Endosc. 2013;78(6):865–7.

    Article  Google Scholar 

  4. Oh HC, Lee SK, Lee TY, et al. Analysis of percutaneous transhepatic cholangioscopy-related complications and the risk factors for those complications. Endoscopy. 2007;39(8):731–6.

    Article  Google Scholar 

  5. Harada N, Kouzu T, Arima M, Asano T, Kikuchi T, Isono K. Endoscopic ultrasound-guided pancreatography: a case report. Endoscopy. 1995;27(8):612–5.

    Article  CAS  Google Scholar 

  6. Dhir V, Isayama H, Itoi T, et al. Endoscopic ultrasonography-guided biliary and pancreatic duct interventions. Dig Endosc. 2017;29(4):472–85.

    Article  Google Scholar 

  7. Kahaleh M, Hernandez AJ, Tokar J, Adams RB, Shami VM, Yeaton P. EUS-guided pancreaticogastrostomy: analysis of its efficacy to drain inaccessible pancreatic ducts. Gastrointest Endosc. 2007;65(2):224–30.

    Article  Google Scholar 

  8. Chapman CG, Waxman I, Siddiqui UD. Endoscopic ultrasound (EUS)-guided pancreatic duct drainage: the basics of when and how to perform EUS-guided pancreatic duct interventions. Clin Endosc. 2016;49(2):161–7.

    Article  Google Scholar 

  9. Sotoudehmanesh R, Eloubeidi MA, Asgari AA, Farsinejad M, Khatibian M. A randomized trial of rectal indomethacin and sublingual nitrates to prevent post-ERCP pancreatitis. Am J Gastroenterol. 2014;109(6):903–9.

    Article  CAS  Google Scholar 

  10. François E, Kahaleh M, Giovannini M, Matos C, Devière J. EUS-guided pancreaticogastrostomy. Gastrointest Endosc. 2002;56(1):128–33.

    Article  Google Scholar 

  11. Kahaleh M, Hernandez AJ, Tokar J, Adams RB, Shami VM, Yeaton P. Interventional EUS-guided cholangiography: evaluation of a technique in evolution. Gastrointest Endosc. 2006;64(1):52–9.

    Article  Google Scholar 

  12. Vila JJ, Pérez-Miranda M, Vazquez-Sequeiros E, et al. Initial experience with EUS-guided cholangiopancreatography for biliary and pancreatic duct drainage: a Spanish national survey. Gastrointest Endosc. 2012;76(6):1133–41.

    Article  Google Scholar 

  13. Tyberg A, Sharaiha RZ, Kedia P, et al. EUS-guided pancreatic drainage for pancreatic strictures after failed ERCP: a multicenter international collaborative study. Gastrointest Endosc. 2017;85(1):164–9.

    Article  Google Scholar 

  14. Barkay O, Sherman S, McHenry L, et al. Therapeutic EUS-assisted endoscopic retrograde pancreatography after failed pancreatic duct cannulation at ERCP. Gastrointest Endosc. 2010;71(7):1166–73.

    Article  Google Scholar 

  15. Brauer BC, Chen YK, Fukami N, Shah RJ. Single-operator EUS-guided cholangiopancreatography for difficult pancreaticobiliary access (with video). Gastrointest Endosc. 2009;70(3):471–9.

    Article  Google Scholar 

  16. Ergun M, Aouattah T, Gillain C, Gigot JF, Hubert C, Deprez PH. Endoscopic ultrasound-guided transluminal drainage of pancreatic duct obstruction: long-term outcome. Endoscopy. 2011;43(6):518–25.

    Article  CAS  Google Scholar 

  17. Fujii LL, Topazian MD, Abu Dayyeh BK, et al. EUS-guided pancreatic duct intervention: outcomes of a single tertiary-care referral center experience. Gastrointest Endosc. 2013;78(6):854–64. e851.

    Article  Google Scholar 

  18. Kahaleh M, Yoshida C, Yeaton P. EUS antegrade pancreatography with gastropancreatic duct stent placement: review of two cases. Gastrointest Endosc. 2003;58(6):919–23.

    Article  Google Scholar 

  19. Kinney TP, Freeman ML. The role of endoscopic retrograde cholangiopancreatography and endoscopic ultrasound in diagnosis and treatment of acute pancreatitis. Minerva Gastroenterol Dietol. 2005;51(4):265–88.

    CAS  PubMed  Google Scholar 

  20. Kurihara T, Itoi T, Sofuni A, Itokawa F, Moriyasu F. Endoscopic ultrasonography-guided pancreatic duct drainage after failed endoscopic retrograde cholangiopancreatography in patients with malignant and benign pancreatic duct obstructions. Dig Endosc. 2013;25(Suppl 2):109–16.

    Article  Google Scholar 

  21. Mallery S, Matlock J, Freeman ML. EUS-guided rendezvous drainage of obstructed biliary and pancreatic ducts: report of 6 cases. Gastrointest Endosc. 2004;59(1):100–7.

    Article  Google Scholar 

  22. Shah JN, Marson F, Weilert F, et al. Single-operator, single-session EUS-guided antegrade cholangiopancreatography in failed ERCP or inaccessible papilla. Gastrointest Endosc. 2012;75(1):56–64.

    Article  Google Scholar 

  23. Tessier G, Bories E, Arvanitakis M, et al. EUS-guided pancreatogastrostomy and pancreatobulbostomy for the treatment of pain in patients with pancreatic ductal dilatation inaccessible for transpapillary endoscopic therapy. Gastrointest Endosc. 2007;65(2):233–41.

    Article  Google Scholar 

  24. Will U, Fueldner F, Thieme AK, et al. Transgastric pancreatography and EUS-guided drainage of the pancreatic duct. J Hepato-Biliary-Pancreat Surg. 2007;14(4):377–82.

    Article  Google Scholar 

  25. Will U, Reichel A, Fueldner F, Meyer F. Endoscopic ultrasonography-guided drainage for patients with symptomatic obstruction and enlargement of the pancreatic duct. World J Gastroenterol. 2015;21(46):13140–51.

    Article  CAS  Google Scholar 

  26. Chen YI, Levy MJ, Moreels TG, et al. An international multicenter study comparing EUS-guided pancreatic duct drainage with enteroscopy-assisted endoscopic retrograde pancreatography after Whipple surgery. Gastrointest Endosc. 2017;85(1):170–7.

    Article  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Gastroenterology and Hepatology, NewYork-Presbyterian/Weill Cornell Medical Center, New York, NY, USA

    Shawn L. Shah

  2. Division of Gastroenterology, Department of Medicine, Rutgers University Medical School, Robert Wood Johnson University Medical Center, New Brunswick, NJ, USA

    Amy Tyberg

Authors
  1. Shawn L. Shah
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  2. Amy Tyberg
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Editor information

Editors and Affiliations

  1. Department of Internal Medicine, Division of Gastroenterology and Hepatology, University of Utah School of Medicine, Salt Lake City, UT, USA

    Douglas G. Adler, MD, FACG, AGAF, FASGE

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Shah, S.L., Tyberg, A. (2019). Endoscopic Ultrasound-Guided Pancreatic Duct Drainage (EUS-PD). In: Adler, MD, FACG, AGAF, FASGE, D. (eds) Interventional Endoscopic Ultrasound. Springer, Cham. https://doi.org/10.1007/978-3-319-97376-0_5

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  • DOI: https://doi.org/10.1007/978-3-319-97376-0_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-97375-3

  • Online ISBN: 978-3-319-97376-0

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