Ito K.,Sendai City Medical Center Sendai |
Fujita N.,Sendai City Medical Center Sendai |
Noda Y.,Sendai City Medical Center Sendai |
Kobayashi G.,Sendai City Medical Center Sendai |
And 4 more authors.
Diagnostic and Therapeutic Endoscopy
A 50-year-old man was admitted to our department, complaining of epigastric pain and high fever. CT revealed a pseudocyst at the pancreatic head with upstream dilatation of the pancreatic duct (PD) and fluid collection surrounding the pancreas. Endosonography-guided PD drainage (ESPD) was performed because of unsuccessful ERCP. With a curved linear array echoendoscope, a 7.2F catheter was placed in the PD. Laboratory data showed improvement in a few days and revealed disappearance of the fluid collection. Ten days after ESPD, a 7F stent was placed in the PD via the puncture tract across the papilla of Vater followed by transpapillary replacement with a 10F stent. CT showed a reduction in diameter of the PD and disappearance of the pseudocyst. ESPD is a feasible and useful procedure in selected patients with chronic pancreatitis showing stenosis of the main PD when transpapillary approach is impossible. © 2010 Kei Ito et al. Source