|
KMID : 0882420170920060533
|
|
Korean Journal of Medicine
2017 Volume.92 No. 6 p.533 ~ p.536
|
|
|
Removal of Pancreatic Duct Stones by Endoscopic Ultrasonography-Guided Rendezvous ERCP
|
|
Hsing Li-Chang
Kim Jin-Young
Kim Ha-Il
Park Jae-Cheol
Han Ji-Soo
Jun Jae-Hyuck
Kim Myung-Hwan
|
|
|
Abstract
|
|
|
|
Symptomatic pancreatic ductal stones can be removed nonsurgically by endoscopic retrograde cholangiopancreatography (ERCP), either alone or in combination with extracorporeal shock-wave lithotripsy (ESWL). Here, we report a case of successful endoscopic ultrasonography (EUS)-guided rendezvous ERCP for removal of radiolucent pancreatic stones after failed ERCP and ESWL. A 79-year-old male with painful chronic pancreatitis associated with pancreatic stones and a dilated upstream duct underwent transgastric antegrade pancreatography via EUS-guided pancreatic duct access followed by rendezvous ERCP. In this patient, EUS-guided rendezvous ERCP was successful in salvaging pancreatic duct cannulation after unsuccessful ERCP due to a tight stricture at the pancreatic duct orifice and removing radiolucent pancreatic stones after ESWL, which was unsuccessful because of failure to localize the stones due to their radiolucency under x-ray fluoroscopy.
|
|
|
KEYWORD
|
|
|
Chronic pancreatitis, Lithotripsy, Cholangiopancreatography, Endoscopic retrograde
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|