ASGE DDW Videos from Around the World | 2026-EUS-GUIDED PANCREATIC DUCT DRAINAGE WITH RENDEZVOUS TECHNIQUE FOR POST-WHIPPLE PANCREATICO-JEJUNAL ANASTOMOTIC STENOSIS

EUS-GUIDED PANCREATIC DUCT DRAINAGE WITH RENDEZVOUS TECHNIQUE FOR POST-WHIPPLE PANCREATICO-JEJUNAL ANASTOMOTIC STENOSIS

Video Transcription

Video Summary

This case report describes a 32-year-old woman with recurrent pancreatitis due to pancreatojejunal anastomotic stenosis after pylorus-preserving pancreatogenectomy. Standard double-balloon enteroscopy failed because of altered anatomy. The team used a dual-modality EUS approach: first creating a gastroenterostomy with a lumen-apposing metal stent, then using that access to perform EUS-guided pancreatic rendezvous, dilate the anastomosis, and place a pancreatic stent. After repeat dilation and stenting, the anastomosis remained patent, symptoms resolved, and she stayed asymptomatic for two years. This technique may help when conventional endoscopic access is not feasible.

Asset Subtitle

Video Plenary II
Submitted by Abdullah Abbasi

Keywords

recurrent pancreatitis

pancreatojejunal anastomotic stenosis

EUS-guided pancreatic rendezvous

lumen-apposing metal stent

altered postoperative anatomy