Endoscopic retrograde pancreatography with pancreatic stenting as a therapeutic approach for pancreatic-portal vein fistula.

ABSTRACT:

Background and aims

Pancreatic-portal vein fistula (PPVF) is a rare condition characterized by an abnormal connection between the pancreatic duct and the portal vein. It is frequently associated with serious adverse events, including portal vein thrombosis and gastrointestinal bleeding. Although surgical intervention represents a therapeutic option, endoscopic retrograde pancreatography (ERP) with pancreatic stenting is a possible minimally invasive alternative for the management of PPVF.

Methods

A 41-year-old patient with a history of severe alcoholic pancreatitis underwent ERP after imaging, which revealed rupture of the duct of Wirsung complicated by PPVF and abdominal fluid collections. A pancreatic sphincterotomy was performed, and an 8.5F × 12-cm pancreatic stent was p

SUBMITTER: Termite F 

PROVIDER: S-EPMC12624535 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature