ASGE DDW Videos from Around the World | 2022-ENDOSCOPIC PANCREATICOGASTROSTOMY FOR THE TREATMENT OF PANCREATIC DUCT OBSTRUCTION IN A PATIENT WITH COMPLEX POST-SURGICAL ANATOMY AND INCOMPLETE PANCREATIC DIVISUM

ENDOSCOPIC PANCREATICOGASTROSTOMY FOR THE TREATMENT OF PANCREATIC DUCT OBSTRUCTION IN A PATIENT WITH COMPLEX POST-SURGICAL ANATOMY AND INCOMPLETE PANCREATIC DIVISUM

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Video Transcription

Video Summary

A 35-year-old female with a complex medical history presented to the emergency department with abdominal pain. She had previously undergone multiple surgeries and developed recurrent episodes of acute pancreatitis and chronic abdominal pain. A CT scan revealed a dilated pancreatic duct, punctate calcifications, and pancreatic divisum. After considering various treatment options, the medical team decided to perform an endoscopic ultrasound (EUS)-guided pancreatic-gastrostomy. The procedure involved puncturing the pancreatic duct, passing a guide wire and dilating balloon, and inserting a plastic stent to alleviate pancreatic duct obstruction. Follow-up examinations showed improvement in the patient's condition, and she reported reduced pain and improved appetite. The case shows the effectiveness of small-caliber devices for endoscopic pancreatic-gastrostomy in complex cases of pancreatitis. No credits were mentioned in the transcript.

Keywords

35-year-old female

complex medical history

abdominal pain

acute pancreatitis

chronic abdominal pain