Antegrade Electrohydraulic Lithotripsy of an Obstructing Pancreatic Duct Stone Through EUS-Guided Pancreatogastrostomy
Year: 2026
Type: article
Abstract: A 73-year-old man with chronic calcific pancreatitis presented with recurrent epigastric pain, nausea, reduced appetite, and 22-lb weight loss.Cross-sectional imaging demonstrated pancreatic atrophy, a dilated main pancreatic duct, multiple intraductal calculi, and a large obstructing pancreatic head stone with upstream ductal dilation (Figures 1 and 2).Prior endoscopic retrograde cholangiopancreatography failed because of papillary stenosis.Endoscopic ultrasound (EUS)-guided pancreatic duct drainage provides an alternative when conventional retrograde access is unsuccessful.[1][2][3] EUS-guided pancreatogastrostomy with antegrade pancreatic duct intervention was performed.Two overlapping covered metal stents (8 mm and 10 mm) were placed with approximately 5 cm extending into the ventral pancreatic duct.After initial improvement, he re-presented 6 weeks later with severe pain, nausea, and vomiting.Repeat intervention through the estab-
Source: ACG Case Reports Journal
Institution: Cleveland Clinic
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7225239772