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Endoscopic Ultrasound-Guided Pancreaticogastrostomy for Pancreatic Duct Stricture in a Patient With Ansa Pancreatica

Year: 2025

Type: article

Abstract: Necrotizing pancreatitis can lead to challenging complications such as pancreatic duct stricture and pancreatic duct disruption. We report a 59-year-old woman with pancreatic ductal stricture causing pancreatic duct leak, initially managed with endoscopic ultrasound-guided pancreaticogastrostomy (PG) after failed transpapillary access due to ansa pancreatica. At follow-up, the PG stent enabled minor papilla cannulation and successful pancreatic duct stenting. The PG stent was removed, and durable transpapillary drainage was achieved. The patient remained asymptomatic with resolution of ductal and peripancreatic abnormalities. This case highlights a minimally invasive, stepwise endoscopic approach for complex ductal anatomy in necrotizing pancreatitis, avoiding surgical intervention.

Source: ACG Case Reports Journal

DOI: 10.14309/crj.0000000000001876

Authors: Abdullah A. Abbasi, Saurabh Chandan, Sagar Pathak, Dennis Yang, Kambiz Kadkhodayan, Muhammad Hasan, Mustafa A. Arain

Institutions: AdventHealth Orlando, University of Iowa Health Care, Houston Methodist, Loma Linda University

Language: English

Topic: Pancreatitis Pathology and Treatment

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4416278121

FWCI:

Cites: 5

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