EUS pancreatic rendezvous to rescue failed ERCP for postoperative pancreatic fistula after pancreaticoduodenectomy.

ABSTRACT:

Background and aims

Postoperative pancreatic fistula (POPF) is a highly morbid adverse event after pancreatic surgery that occurs in up to 25% to 30% of patients. Clinically significant POPFs (grades B and C) often require a step-up approach with percutaneous and endoscopic interventions. Alternative strategies such as EUS-guided rendezvous are helpful when large pancreatojejunostomy dehiscence prevents conventional endoscopic retrograde pancreatography.

Methods

We present a series of 3 consecutive patients with clinically significant POPFs after the Whipple procedure in whom there was an unsuccessful percutaneous and conventional endoscopic retrograde pancreatography drainage. The median age of the patients was 62 years, their median body mass index was 40, and median pancr

SUBMITTER: Kadkhodayan K 

PROVIDER: S-EPMC12546646 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature