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

研究成果: Article査読

1 被引用数 (Scopus)

抄録

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.

本文言語English
ページ(範囲)357-362
ページ数6
ジャーナルInternal Medicine
57
3
DOI
出版ステータスPublished - 2018

ASJC Scopus subject areas

  • 内科学

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