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ID 63932
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Sato, Ryosuke Department of Gastroenterology and Hepatology, Okayama University Hospital
Matsumoto, Kazuyuki Department of Gastroenterology and Hepatology, Okayama University Hospital ORCID Kaken ID publons
Matsumi, Akihiro Department of Gastroenterology and Hepatology, Okayama University Hospital
Morimoto, Kosaku Department of Gastroenterology and Hepatology, Okayama University Hospital
Terasawa, Hiroyuki Department of Gastroenterology and Hepatology, Okayama University Hospital
Fujii, Yuki Department of Gastroenterology and Hepatology, Okayama University Hospital
Yamazaki, Tatsuhiro Department of Gastroenterology and Hepatology, Okayama University Hospital
Tsutsumi, Koichiro Department of Gastroenterology and Hepatology, Okayama University Hospital
Horiguchi, Shigeru Department of Gastroenterology and Hepatology, Okayama University Hospital
Kato, Hironari Department of Gastroenterology and Hepatology, Okayama University Hospital
Abstract
We herein report a 78-year-old man who underwent endoscopic retrograde cholangiopancreatography (ERCP) to examine main pancreatic duct (MPD) stenosis. During ERCP, MPD perforation occurred due to the cytology brush maneuver. Endoscopic pancreatic stenting to bridge the perforated site failed because the MPD was bent and formed a loop. Thus, we placed the stent at the proximal perforated side. The patient developed retroperitoneal perforation and pancreatic fistula with infection, showing a worsening condition. Pancreatic duct drainage was not effective, so we performed endoscopic ultrasonography-guided pancreatic duct drainage. Subsequently, he gradually improved and was discharged 3 months after initial ERCP.
Keywords
EUS-guided pancreatic duct drainage
Pancreatic duct perforation
ERCP-related perforation
Note
This version of the article has been accepted for publication, after peer review (when applicable) and is subject to Springer Nature’s AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at: http://dx.doi.org/10.1007/s12328-022-01699-1
This fulltext is available in Sep. 2023.
Published Date
2022-09-12
Publication Title
Clinical Journal of Gastroenterology
Volume
volume15
Issue
issue6
Publisher
Springer Science and Business Media LLC
Start Page
1179
End Page
1184
ISSN
1865-7257
Content Type
Journal Article
language
English
OAI-PMH Set
岡山大学
Copyright Holders
© Japanese Society of Gastroenterology 2022
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isVersionOf https://doi.org/10.1007/s12328-022-01699-1
Citation
Sato, R., Matsumoto, K., Matsumi, A. et al. A case of endoscopic retrograde cholangiopancreatography-related main pancreatic duct perforation salvaged by endoscopic ultrasonography-guided pancreatic duct drainage. Clin J Gastroenterol 15, 1179–1184 (2022). https://doi.org/10.1007/s12328-022-01699-1