endosonography-guided pancreatic duct drainage for chronic pancreatitis a case report and reviewendosonography-guided胰管引流慢性胰腺炎病例报告和审查.pdfVIP

Hindawi Publishing Corporation Diagnostic and Therapeutic Endoscopy Volume 2010, Article ID 517864, 5 pages doi:10.1155/2010/517864 Case Report Endosonography-Guided Pancreatic Duct Drainage for Chronic Pancreatitis: A Case Report and Review Kei Ito, Naotaka Fujita, Yutaka Noda, Go Kobayashi, Takashi Obana, Jun Horaguchi, Shinsuke Koshita, and Yoshihide Kanno Department of Gastroenterology, Sendai City Medical Center, Sendai, Miyagi 983-0824, Japan Correspondence should be addressed to Kei Ito, keiito@openhp.or.jp Received 10 February 2010; Accepted 11 March 2010 Academic Editor: C. Mel Wilcox Copyright © 2010 Kei Ito et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. A 50-year-old man was admitted to our department, complaining of epigastric pain and high fever. CT revealed a pseudocyst at the pancreatic head with upstream dilatation of the pancreatic duct (PD) and fluid collection surrounding the pancreas. Endosonography-guided PD drainage (ESPD) was performed because of unsuccessful ERCP. With a curved linear array echoendoscope, a 7.2 F catheter was placed in the PD. Laboratory data showed improvement in a few days and revealed disappearance of the fluid collection. Ten days after ESPD, a 7 F stent was placed in the PD via the puncture tract across the papilla of Vater followed by transpapillary replacement with a 10 F stent. CT showed a reduction in diameter of the PD and disappearance of the pseudocyst. ESPD is a feasible and useful procedure in selected patients with chronic pancreatitis showing stenosis of the main PD when transpapillary