Chronic pancreatic pain successfully treated by endoscopic ultrasound-guided pancreaticogastrostomy using fully covered self-expandable metallic stent
Chronic pancreatic pain successfully treated by endoscopic ultrasound-guided pancreaticogastrostomy using fully covered self-expandable metallic stent作者机构：Siriraj Gastrointestinal Endoscopy Center Division of Gastroenterology Department of Internal Medicine Siriraj Hospital Faculty of Medicine Mahidol University Liver and Digestive Institute Samitivej Sukhumvit Hospital
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2016年第4卷第4期
页 面：112-117页
核心收录：
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题：Endoscopic ultrasound-guided Endoscopic ultrasound Pancreaticogastrostomy Pancreatic duct drainage Chronic pancreatitis Self-expandable metallic stent
摘 要：One of the most common symptoms presenting in patients with chronic pancreatitis is pancreatic-type *** of the main pancreatic duct in chronic pancreatitis can be treated by a multitude of therapeutic approaches,ranging from pharmacologic,endoscopic and radiologic treatments to surgical *** the conservative treatment approaches fail to resolve symptomatic cases,however,endoscopic retrograde pancreatography with pancreatic duct drainage is the preferred second approach,despite its well-recognized *** the conventional transpapillary approach fails to achieve the necessary drainage,the patients may benefit from application of the less invasive endoscopic ultrasound(EUS)-guided pancreatic duct ***,we describe the case of a 42-year-old man who presented with severe abdominal pain that had lasted for 3 *** tomography scanning showed evidence of chronic obstructive pancreatitis with pancreatic duct stricture at *** conventional endoscopic retrograde pancreaticography failed to eliminate the symptoms,EUS-guided pancreaticogastrostomy(PGS)was applied using a fully covered,self-expandable,10-mm diameter metallic *** treatment resolved the case and the patient experienced no adverse ***-guided PGS with a regular biliary fully covered,self-expandable metallic stent effectively and safely treated pancreatictype pain in chronic pancreatitis.
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