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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9258025PMC
http://dx.doi.org/10.4103/EUS-D-21-00142DOI Listing

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Background: Although balloon enteroscopy-assisted ERCP and transgastric EUS-guided pancreatic duct drainage (EUS-PD) are treatment option for pancreaticojejunostomy anastomotic stricture (PJAS), they are often challenging with several limitations. This study aimed to examine the feasibility of transanastomotic forward-viewing EUS-PD (FVEUS-PD) via the afferent loop for PJAS after pancreaticoduodenectomy.

Methods: Ten consecutive patients with symptomatic PJAS who underwent FVEUS-PD between 2015 and 2021 were retrospectively evaluated.

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Article Synopsis
  • EUS-guided pancreaticojejunostomy (EUS-PJS) is an effective procedure for treating strictures after Whipple surgery, showing a 100% technical success rate among 10 patients studied.
  • The study, conducted at Aichi Cancer Center Hospital, found that while there were some minor adverse events like fever, overall safety was high with no serious complications.
  • With a median follow-up of 9.5 months, some patients achieved a stent-free state, suggesting EUS-PJS may reduce the need for further interventions and create a permanent drainage solution.
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Italian Survey on Endoscopic Biliary Drainage Approach in Patients with Surgically Altered Anatomy.

Medicina (Kaunas)

March 2024

Gastroenterology and Digestive Endoscopy Unit, Fondazione IRCCS Policlinico San Matteo, Viale Camillo Golgi 19, 27100 Pavia, Italy.

: Biliary drainage (BD) in patients with surgically altered anatomy (SAA) could be obtained endoscopically with different techniques or with a percutaneous approach. Every endoscopic technique could be challenging and not clearly superior over another. The aim of this survey is to explore which is the standard BD approach in patients with SAA.

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Therapeutic endoscopic ultrasonography (EUS) procedures using the forward-viewing convex EUS (FV-EUS) have been reviewed based on the articles reported to date. The earliest reported procedure is the drainage of pancreatic pseudocysts using FV-EUS. However, the study on drainage of pancreatic pseudocysts focused on showing that drainage is possible with FV-EUS rather than leveraging its features.

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