Advanced Endoscopy Fellows Program | September 2022-Endoscopic Pancreatic Cases #2

Video Transcription

Video Summary

In this video, the speaker discusses disconnected pancreatic duct syndrome, which is commonly seen after necrotizing pancreatitis or pancreatic trauma. They explain that the condition occurs when a segment of necrosis leads to a lack of continuity between the viable pancreatic tissue in the body or tail and the pancreatic head, disrupting the flow of pancreatic juice. The speaker discusses how surgery has traditionally been the main treatment option, but advancements in therapeutic endoscopy have opened up minimally invasive options. They then present a case of a 53-year-old patient who developed recurrent abdominal pain after previous treatment for necrotizing pancreatitis. The speaker describes performing an ERCP to reconnect the duct endoscopically, using EOS-guided access and placing a stent to open up the obstructed duct. They share the outcomes of the procedure and discuss the limitations and considerations for this approach.

Asset Subtitle

Assaad Soweid, Brooke Glessing, Ajaypal Singh, Tarun Rustagi

Keywords

disconnected pancreatic duct syndrome

necrotizing pancreatitis

pancreatic trauma

therapeutic endoscopy

ERCP