Skip to main content

EUS-Guided Pancreatic Duct Drainage

  • Chapter
  • First Online:
  • 506 Accesses

Abstract

Advances in the field of interventional endoscopic ultrasound (EUS) have provided greater access to the pancreas and surrounding structures. Similar to the drainage of pancreatic fluid collections such as pseudocysts and walled-off pancreatic necrosis (WON) from the stomach or duodenum through endoscopic cystenterostomy or cystgastrostomy, the principle can be applied to access and drain the pancreatic duct. EUS-guided pancreatic duct drainage (EUS-PDD) is an alternative or second-line procedure which is used to drain the pancreatic duct when endoscopic retrograde cholangiopancreatography (ERCP), the primary modality for pancreatic duct drainage, has been unsuccessful or cannot be performed due to anatomic limitations [1].

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

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   169.99
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

Learn about institutional subscriptions

References

  1. Perez-Miranda M, de la Serna C, Diez-Redondo P, et al. Endosonography-guided cholangiopancreatography as a salvage drainage procedure for obstructed biliary and pancreatic ducts. World J Gastrointest Endosc. 2010;2:212–22.

    Article  Google Scholar 

  2. Baars JE, Chen F, Sandroussi C, et al. EUS-guided pancreatic duct drainage: approach to a challenging procedure. Endosc Ultrasound. 2018;7:284–5.

    Article  Google Scholar 

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

    Article  Google Scholar 

  4. Adams DB, Ford MC, Anderson MC. Outcome after lateral pancreaticojejunostomy for chronic pancreatitis. Ann Surg. 1994;219:481–9.

    Article  CAS  Google Scholar 

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

    Article  Google Scholar 

  6. Matsunami Y, Itoi T, Sofuni A, et al. Evaluation of a new stent for EUS-guided pancreatic duct drainage: long-term follow-up outcome. Endosc Int Open. 2018;6:E505–12.

    Article  Google Scholar 

  7. Chandan S, Mohan BP, Khan SR, et al. Efficacy and safety of endoscopic ultrasound-guided pancreatic duct drainage (EUS-PDD): a systematic review and meta-analysis of 714 patients. Endosc Int Open. 2020;8:E1664–72.

    Article  Google Scholar 

  8. 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;85:170–7.

    Article  CAS  Google Scholar 

  9. Wehrmann T, Riphaus A, Frenz MB, et al. Endoscopic pancreatic duct stenting for relief of pancreatic cancer pain. Eur J Gastroenterol Hepatol. 2005;12:1395–400.

    Article  Google Scholar 

  10. Oh D, Park DH, Cho MK, et al. Feasibility and safety of a fully covered self-expandable metal stent with antimigration properties for EUSguided pancreatic duct drainage: early and midterm outcomes (with video). Gastrointest Endosc. 2016;83:366–73.

    Article  Google Scholar 

  11. Giovannini M. Endoscopic ultrasound-guided pancreatic duct drainage: ready for the prime time? Endosc Ultrasound. 2017;6:281–4.

    Article  Google Scholar 

  12. 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;49:161–7.

    Article  Google Scholar 

  13. Kinney TP, Li R, Gupta K, et al. Therapeutic pancreatic endoscopy after Whipple resection requires rendezvous access. Endoscopy. 2009;41:898–901.

    Article  CAS  Google Scholar 

  14. ASGE Standards of Practice Committee. Adverse events associated with ERCP. Gastrointest Endosc. 2017;85:32–47.

    Article  Google Scholar 

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

    Article  Google Scholar 

  16. Itoi T, Kasuya K, Sofuni A, et al. Endoscopic ultrasonography-guided pancreatic duct access: techniques and literature review of pancreatography, transmural drainage and rendezvous techniques. Dig Endosc. 2013;25:241–52.

    Article  Google Scholar 

  17. Krafft MR, Nasr JY. Anterograde endoscopic ultrasound-guided pancreatic duct drainage: a technical review. Dig Dis Sci. 2019;64:1770–81.

    Article  Google Scholar 

  18. 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;65:233–41.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Ramai, D., Ofosu, A., Adler, D.G. (2021). EUS-Guided Pancreatic Duct Drainage. In: Facciorusso, A., Muscatiello, N. (eds) Endoscopic Ultrasound Management of Pancreatic Lesions. Springer, Cham. https://doi.org/10.1007/978-3-030-71937-1_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-71937-1_8

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-71936-4

  • Online ISBN: 978-3-030-71937-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics