Endoscopic intervention strategy for pancreaticoduodenectomy-related cholangiopancreatic diseases

Abstract

The pancreaticoduodenectomy-related cholangiopancreatic complications include anastomotic stricture, cholangiopancreatic duct stones, cholangitis, pancreatitis, obstructive jaundice due to tumor recurrence, etc. Because of the complexity of the operation, the multiple organs involved and digestive tract reconstruction, endoscopic retrograde cholangio-pancreatography is difficult to carry out. In this article, we introduced two kinds of endoscopic interventional strategies, retrograde gastrostomy via biliary/pancreaticojejunostomy and endoscopic ultrasonography (EUS)-guided biliary drainage/ EUS-guided pancreatic drainage through digestive wall to provide some reference for clinicians.

Keywords

• |endoscopic retrograde cholangio-pancreatography|pancreaticoduodenectomy|single balloon enteroscopy, short form|endoscopic ultrasonography-guide