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CC BY 4.0 · Journal of Digestive Endoscopy
DOI: 10.1055/s-0043-1768689
Endoscopy Video

Endoscopic Ultrasound-Guided Rendezvous Pancreatic Duct Stenting in Pancreas Divisum Using Modified Cannula

Kiran Josy Kanjamala
1   LISIE Institute of Gastroenterology, LISIE Hospital, Kochi, Kerala, India
,
Prakash Zacharias
1   LISIE Institute of Gastroenterology, LISIE Hospital, Kochi, Kerala, India
,
Shibi Mathew
1   LISIE Institute of Gastroenterology, LISIE Hospital, Kochi, Kerala, India
,
Deepak Madhu
1   LISIE Institute of Gastroenterology, LISIE Hospital, Kochi, Kerala, India
,
Hasim Ahamed
1   LISIE Institute of Gastroenterology, LISIE Hospital, Kochi, Kerala, India
,
Bilal Mohmed
1   LISIE Institute of Gastroenterology, LISIE Hospital, Kochi, Kerala, India
,
Mathew Philip 
1   LISIE Institute of Gastroenterology, LISIE Hospital, Kochi, Kerala, India
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Abstract

This video is of a 65 year old female patient with history of systemic hypertension, type 2 diabetes and coronary artery disease on medical management. She presented with features of acute pancreatitis which was managed conservatively and imaging showed features of chronic pancreatitis with dilated pancreatic duct and pancreas divisum was suggested. She had two further episodes of acute pancreatitis and was managed conservatively. Pancreatic stenting was suggested but during ERCP minor papillae couldn't be identified. Hence, EUS guided Rendez - vous pancreatic duct puncture and minor papillae stenting was done with the help of a modified cannula.


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Keywords

Pancreatic stenting - endoscopic ultrasound - pancreas divisum - Rendez - vous technique - minor papillae - modified cannula

This video is of a 65-year-old female patient with a history of systemic hypertension, type 2 diabetes, and coronary artery disease on medical management. She presented with features of acute pancreatitis that was managed conservatively and imaging showed features of chronic pancreatitis with dilated pancreatic duct and pancreas divisum was suggested. She had two further episodes of acute pancreatitis and was managed conservatively. Pancreatic stenting was suggested, but during endoscopic retrograde cholangiopancreatography minor papillae could not be identified. Hence, endoscopic ultrasound-guided rendezvous pancreatic duct puncture and minor papillae stenting were done with the help of a modified cannula.

Video 1 Endoscopic Ultrasound – Guided Rendezvous Pancreatic Duct Stenting in Pancreas Divisum Using Modified Cannula.


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Conflict of Interest

None declared.

Address for correspondence

Kiran Josy Kanjamala
Lisie Institute of Gastroenterology, Lisie Hospital
Kochi, Kerala 682018

Publication History

Article published online:
09 February 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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