Successful endoscopic treatment of severe pancreaticojejunostomy strictures by puncturing the anastomotic site with an EUS-guided guidewire

Tatsuhide Nabeshima, Atsushi Kanno, Atsushi Masamune, Hiroki Hayashi, Seiji Hongo, Naoki Yoshida, Eriko Nakano, Shin Miura, Shin Hamada, Kazuhiro Kikuta, Kiyoshi Kume, Morihisa Hirota, Michiaki Unno, Tooru Shimosegawa

Research output: Contribution to journalArticle

Abstract

Pancreaticojejunostomy stricture (PJS) is a late complication of pancreaticoduodenectomy. The endoscopic treatment of PJS is very challenging due to the difficulty of locating the small anastomotic site and passing the stricture using a guidewire. We herein report two cases of severe PJS. These patients could not be treated using only double-balloon endoscopy or endoscopic ultrasound-guided puncture of the main pancreatic duct because of severe stenosis at the anastomotic site. However, we could treat them by the rendezvous technique using the rigid part of the guidewire to penetrate PJS. This method was useful and safe for treating severe PJS.

Original languageEnglish
Pages (from-to)357-362
Number of pages6
JournalInternal Medicine
Volume57
Issue number3
DOIs
Publication statusPublished - 2018

Keywords

  • Endoscopic ultrasound
  • Late complication
  • Pancreaticoduodenectomy
  • Pancreaticojejunostomy stricture
  • Rendezvous technique

ASJC Scopus subject areas

  • Internal Medicine

Fingerprint Dive into the research topics of 'Successful endoscopic treatment of severe pancreaticojejunostomy strictures by puncturing the anastomotic site with an EUS-guided guidewire'. Together they form a unique fingerprint.

Cite this