Case Report
Copyright ©2013 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Aug 21, 2013; 19(31): 5182-5186
Published online Aug 21, 2013. doi: 10.3748/wjg.v19.i31.5182
Pancreatic duct drainage using EUS-guided rendezvous technique for stenotic pancreaticojejunostomy
Tetsuya Takikawa, Atsushi Kanno, Atsushi Masamune, Shin Hamada, Eriko Nakano, Shin Miura, Hiroyuki Ariga, Jun Unno, Kiyoshi Kume, Kazuhiro Kikuta, Morihisa Hirota, Hiroshi Yoshida, Yu Katayose, Michiaki Unno, Tooru Shimosegawa
Tetsuya Takikawa, Atsushi Kanno, Atsushi Masamune, Shin Hamada, Eriko Nakano, Shin Miura, Hiroyuki Ariga, Jun Unno, Kiyoshi Kume, Kazuhiro Kikuta, Morihisa Hirota, Tooru Shimosegawa, Division of Gastroenterology, Tohoku University Graduate School of Medicine, Miyagi 980-8574, Japan
Hiroshi Yoshida, Yu Katayose, Michiaki Unno, Division of Hepato-biliary-Pancreatic Surgery, Tohoku University Graduate School of Medicine, Miyagi 980-8574, Japan
Author contributions: Takikawa T, Kanno A and Masamune A designed this study and wrote the paper; Hamada S analyzed the data; Nakano E, Miura S, Ariga H, Unno J, Kume K, Kikuta K and Hirota M took part in treating the patient and analyzing the data; Yoshida H, Katayose Y and Unno M performed the surgical operation; Shimosegawa T revised the manuscript and made the final approval of the version.
Supported by Grant-in-Aid to the Research Committee of the Intractable Pancreatic Diseases (Chairman, Shimosegawa T), provided from the Ministry of Health, Labour and Welfare of Japan
Correspondence to: Atsushi Kanno, MD, PhD, Division of Gastroenterology, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi 980-8574, Japan. atsushih@med.tohoku.ac.jp
Telephone: +81-22-7177171 Fax: +81-22-7177177
Received: May 8, 2013
Revised: June 2, 2013
Accepted: June 19, 2013
Published online: August 21, 2013
Core Tip

Core tip: The usefulness of pancreatic duct drainage using endoscopic ultrasonography-guided rendezvous technique for stenotic pancreaticojejunostomy after pancreaticoduodenectomy. However, this procedure requires technically skill and the success rate is low. The main reason for failure is the inability to pass through the stenotic anastomosis due to its tightness. In our case, the stenosis was not so tight because the stenosis developed about a month after the operation. A case of stenotic pancreaticojejunostomy that occurs at any early stage after pancreaticoduodenectomy with a dilated pancreatic duct is possibly a good indication.