EUS-Guided Rendezvous Pancreatic Duct Stenting in Symptomatic Chronic Pancreatitis Patient

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Aroon Siripun, MD


Chronic pancreatitis (CP) is a progressive disease with irreversible changes in the pancreas. Patients commonly present with pain. All therapeutic efforts in CP are directed towards the relief of pain. Endoscopic therapy either endoscopic retrograde pancreatography (ERP) or endoscopic ultrasound (EUS) guided pancreatic drainage, offers pain relief in patients with CP who present with ductal calculi and/or main pancreatic duct strictures with upstream dilation with a high rate of success with low morbidity in properly selected patients.

Interventional Endoscopic ultrasound (EUS) is an emerging technology to provide pancreatic duct drainage to patients when conventional ERP technique fails or in the case of inaccessible pancreatic ducts. Endotherapy should be offered as the first line of therapy in properly selected patients with CP who have failed to respond to medical therapy and require intervention.


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How to Cite
Siripun A. EUS-Guided Rendezvous Pancreatic Duct Stenting in Symptomatic Chronic Pancreatitis Patient. BKK Med J [Internet]. 2016 Feb. 19 [cited 2023 Dec. 5];11(1):42. Available from:
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1. Dumonceau JM, Delhaye M, Tringali A, et al. Endoscopic treatment of chronic pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy 2012;44:784-800.
2. TringaliA,BoskoskiI,CostamagnaG.Theroleofendoscopy in the therapy of chronic pancreatitis. Best Pract Res Clin Gastroenterol 2008;22:145-65.
3. Itoi T, Kasuya K, Sofuni A, et al. Endoscopic ultrasonog- raphy-guided pancreatic duct access: techniques and literature review of pancreatography, transmural drainage and rendezvous techniques. Dig Endosc 2013;25:241-52.
4. Kahaleh M, Hernandez AJ, Tokar J, et al. EUS-guided pancreaticogastrostomy: analysis of its efficacy to drain inaccessible pancreatic ducts. Gastrointest Endosc 2007;65:224-30.
5. Tessier G, Bories E, Arvanitakis M, et al. EUS-guided pancreatogastrostomy and pancreatobulbostomy for the treatment of pain in patients with pancreatic ductal dilatation inaccessible for transpapillary endoscopic therapy. Gastrointest Endosc 2007;65:233-41.
6. Brauer BC, Chen YK, Fukami N, et al. Single-operator EUS-guided cholangiopancreatography for difficult pancreaticobiliary access (with video). Gastrointest Endosc 2009;70:471-9.
7. Bataille L, Deprez P. A new application for therapeutic EUS: main pancreatic duct drainage with a “pancreatic rendezvous technique”. Gastrointest Endosc 2002;55: 740-3.
8. Mallery S, Matlock J, Freeman ML. EUS-guided rendez- vous drainage of obstructed biliary and pancreatic ducts: Report of 6 cases. Gastrointest Endosc 2004;59:100-7.
9. Barkay O, Sherman S, McHenry L, et al. Therapeutic EUS-assisted endoscopic retrograde pancreatography after failed pancreatic duct cannulation at ERCP. Gastrointest Endosc 2010;71:1166-73.