CC BY 4.0 · Journal of Digestive Endoscopy 2024; 15(01): 059-104
DOI: 10.1055/s-0044-1786274
Abstracts of presentation during ENDOCON 2024, New Delhi

An Interesting Case of Rendezvous Technique for Pancreatic Duct Cannulation in Chronic Pancreatitis

Varun Prabhakar
1   Department of Medical Gastroenterology and Hepatology, Gleneagles Global Hospitals, Lakdikapul, Hyderabad, India
,
Sasanka Vangara
1   Department of Medical Gastroenterology and Hepatology, Gleneagles Global Hospitals, Lakdikapul, Hyderabad, India
,
Sameer Kumar Godey
1   Department of Medical Gastroenterology and Hepatology, Gleneagles Global Hospitals, Lakdikapul, Hyderabad, India
,
Chandan Kumar Kedarisetty
1   Department of Medical Gastroenterology and Hepatology, Gleneagles Global Hospitals, Lakdikapul, Hyderabad, India
› Author Affiliations
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A 50-year-old lady, a known case of chronic pancreatitis due to SPINK-1 mutation, presented with recurrent pain abdomen and vomiting suggestive of acute exacerbation. Endoscopic ultrasound (EUS) showed dilated pancreatic duct in the distal body and tail regions with calculi. Under EUS guidance, pancreatic duct cannulation was done from the stomach, confirmed under fluoroscopy. Stricture noted in the pancreatic duct at the head region with three stones proximal to it. Pancreatic duct cannulation was done using the rail road technique. Pancreatic sphincterotomy done and 7F PD stent was placed. No immediate complications noted and the patient is asymptomatic after the procedure. Patient improved symptomatically and now on routine follow-up.

EUS-assisted drainage of the pancreatic duct using a rendezvous technique is a technically challenging but feasible technique for symptomatic patients with chronic pancreatitis, in whom trans-papillary catheterization is difficult.

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Publication History

Article published online:
22 April 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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