ASGE DDW Videos from Around the World | 2023-EUSGUIDED RENDEZVOUS CANNULATION OF MINOR PAPILLA FOR RECURRENT PANCREATITIS DUE TO PANCREATIC DIVISUM

EUSGUIDED RENDEZVOUS CANNULATION OF MINOR PAPILLA FOR RECURRENT PANCREATITIS DUE TO PANCREATIC DIVISUM

Video Transcription

Video Summary

The video discusses a case of a 65-year-old man with recurrent pancreatitis due to pancreatic diffism. The patient had previous normal ERCP and MRCP results but continued to have recurring attacks. A CT scan revealed a pseudocyst that resolved on its own. An MRCP showed type 2 pancreatic diffism with an absent ventral duct. ERCP failed to identify the minor papilla, so the video demonstrates the EOS-guided Honde-Wu cannulation procedure. The pancreatic duct was punctured, a guide wire was inserted, papillotomy was performed, and a pancreatic stent was inserted. This case highlights the importance of identifying pancreatic diffism and considering endoscopic treatment options.

Asset Subtitle

Honorable Mention

Keywords

pancreatitis

pancreatic diffism

recurrent attacks

ERCP

MRCP