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. 2025 Dec;57(S 01):E384-E385.
doi: 10.1055/a-2589-0654. Epub 2025 May 9.

Forward-viewing echoendoscope-guided pancreaticojejunostomy for post-pancreaticoduodenectomy stricture

Toru Kaneko  1   2 , Mitsuhiro Kida  1   2 , Takahiro Kurosu  1   2 , Yutaro Saito  1   2 , Shiori Koyama  1   2 , Tomohiro Betto  1   2 , Chika Kusano  2
Affiliations

Forward-viewing echoendoscope-guided pancreaticojejunostomy for post-pancreaticoduodenectomy stricture

Toru Kaneko et al. Endoscopy. 2025 Dec.
No abstract available

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Pancreatic fistula (red circle) near the pancreaticojejunostomy site.
Fig. 2
Fig. 2
Endoscopic ultrasound-guided rendezvous technique and EUS-guided pancreatic fistula drainage. a Pancreatic duct puncture via the stomach and contrast medium injection. b Only the pancreatic fistula is visualized from the pancreatic duct. c Guidewire advancement stops at the pancreaticojejunostomy site and advances only to the pancreatic fistula. d Puncture of and contrast medium injection into the pancreatic fistula via transgastric using EUS. e Guidewire placement in the pancreatic fistula. f Transgastric stent placement in the pancreatic fistula. Abbreviation: EUS, endoscopic ultrasound.
Fig. 3
Fig. 3
Schema of EUS-guided pancreaticojejunostomy. a Insertion of a forward-viewing echoendoscope into the pancreaticojejunostomy site. b Pancreatic duct puncture. c Guidewire placement in the pancreatic duct. d Puncture site dilation. e Stent placement in the pancreatic duct. Abbreviation: EUS, endoscopic ultrasound.
Fig. 4
Fig. 4
Endoscopic ultrasound-guided pancreaticojejunostomy. a Insertion of a forward-viewing echoendoscope into the pancreaticojejunostomy site, followed by pancreatic duct puncture using a 19G needle and contrast medium injection. b Guidewire placement in the pancreatic duct. c Puncture site dilation using a drill-type dilator. d Placement of two guidewires using a double-lumen catheter. e Puncture site dilation with a 3-mm balloon dilator. f Stent placement in the pancreatic duct. Abbreviation: EUS, endoscopic ultrasound.
See this image and copyright information in PMC

References

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