An 85-year-old woman underwent endoscopic retrograde cholangiopancreatography (ERCP) for obstructive jaundice. Selective bile duct cannulation was unsuccessful because of periampullary diverticula (PAD). A pancreatic spontaneous dislodgement stent (PSDS) (5F diameter, 3 cm, straight type) was inserted to prevent post-ERCP pancreatitis. Three days after ERCP, she complained of abdominal pain, an...

alcohol abuse was admitted with exertional dyspnea and massive pleural effusion bilaterally. Despite repeated thoracocentesis with placement of a chest tube, the sanguineous pleural effusions remained refractory. Follow-up investigations revealed exudative pleural fluid with a markedly elevated amylase level (34 620 IU/L) and acute pancreatitis with peripancreatic exudation in the transitional ...

Introduction The safety and the protective role of stenting the pancreato-jejunal anastomosis on the occurrence of pancreatic fistula is debated. Aim of this study was to evaluate the outcome of patients who received internal stenting during pancreatoduodenectomy and to review the literature on the related complications. Methods From 2007 to 2014 we performed 207 pancreatoduodenectomies with en...

Endoscopic ultrasound (EUS)-guided pancreatic duct access in patients with an inaccessible papilla or failed endoscopic retrograde cholangiopancreatography (ERCP) has been reported previously [1, 2]. This technique consists of the EUSguided rendezvous technique, and EUSguided pancreatic duct stenting via the stomach (pancreaticogastrostomy), or the duodenum (pancreaticoduodenostomy) [2]. Howeve...

BACKGROUND The endoscopically placed enteral stent has emerged as a reasonable alternative to palliative surgery for malignant intestinal obstruction. This is a report of our experience with the use of enteral stents for nonesophageal malignant upper GI obstruction. METHODS Data on all patients who had undergone enteral stent placement were reviewed. Those with a diagnosis of pancreatic cance...

CONTEXT Endoscopic ultrasonography guided fine needle aspiration (EUS-FNA) is a front line test used for the diagnosis of solid as well as cystic lesions of the pancreas. This procedure is fairly well tolerated and associated with minimal complications. Local complications such as perforation and pancreatitis have been reported with EUS-FNA, albeit rarely. Although pancreatic duct injury can oc...

Since it was first described nearly three decades ago, endoscopic papillectomy (EP) has been utilized as a less invasive, alternative therapy for adenoma of the major duodenal papilla. In this article, we review the recent advances in EP, especially those pertaining to endoscopic ultrasonography (EUS), intraductal ultrasonography (IDUS), and pancreatic stent placement for the prevention of post...

A 65-year old man with advanced pancreatic cancer with a combination of malignant biliary obstruction and gastric outlet obstruction was referred to our hospital. Given the presence of periampullary cancerous lesions, the endoscopic placement of a duodenal stent and endoscopic ultrasound (EUS)-guided hepaticogastrostomy (HGS) were performed simultaneously, using a single convex-array echoendosc...

Irreversible electroporation (IRE) is an ablation technique that is being investigated as a potential treatment of pancreatic cancer. However, many of these patients have a metallic stent in the bile duct, which is recognized as a contraindication for IRE ablation. We report a case in which an IRE ablation in the region of the pancreatic head was performed on a patient with a metallic stent whi...

Introduction: The modified Blumgart pancreaticojejunostomy is a wellknown technique during the reconstructive phase of pancreaticoduodenectomy. A short stent often placed across anastomosis to prevent pancreatic fistula. On other hand, long internal rarely used and outcome controversial. Method: We retrospectively analysed early postoperative results,especially fistula, 10 patients who underwen...