Endoscopic Ultrasound Atlas
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Pancreatic stenting

EUS-assisted rendez-vous stenting in chronic pancreatitis with multiple pseudocysts Feb 26, 2009
A 60-years-old male patient with chronic calcifying pancreatitis, with severe ductal obstruction and multiple communicating pancreatic pseudocysts. Two ERCPs failed to access the dilated pancreatic duct. EUS-assisted rendez-vous procedure started with the EUS-guided transgastric placement of a 19G needle. After a guidewire was passed out of the papilla, the EUS-scope was exchanged for a duodenoscope, the wire grabbed and a pancreatic stent was inserted. Subsequent sphincterotomy and bile duct stenting was obtained.
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