PMID- 35584379
OWN - NLM
STAT- MEDLINE
DCOM- 20220520
LR  - 20220923
IS  - 1536-4828 (Electronic)
IS  - 0885-3177 (Linking)
VI  - 51
IP  - 3
DP  - 2022 Mar 1
TI  - Efficacy and Safety of Peroral Pancreatoscopy Through the Fistula Created by 
      Endoscopic Ultrasound-Guided Pancreaticogastrostomy.
PG  - 228-233
LID - 10.1097/MPA.0000000000002003 [doi]
AB  - OBJECTIVES: Endoscopic ultrasound/endosonography-guided pancreaticogastrostomy 
      (EUS-PGS) is a useful alternative when endoscopic retrograde pancreatography is 
      difficult. Recently, many procedures, including peroral pancreatoscopy (POPS), 
      have been performed through the mature fistula (MF) created by EUS-PGS. We 
      evaluate the efficacy and safety of POPS to diagnose and treat pancreatic ductal 
      stricture/pancreato-jejunal anastomotic stricture (PDS/PJAS) through the MF. 
      METHODS: Twenty patients underwent EUS-PGS; 13 of these underwent POPS through 
      the MF at Juntendo University Hospital. All patients were studied retrospectively 
      in terms of technical and clinical success rates and adverse events (AEs). 
      RESULTS: The technical and clinical success rates of EUS-PGS were 95% and 100%. 
      The early and late AEs rates were 20% and 15%. The technical success rate of POPS 
      was 100%, with one AE. Biopsy of PDS/PJAS under POPS guidance revealed 
      recurrent/residual intrapapillary mucinous adenoma (3 patients) and benign 
      fibrotic stricture (10 patients). In the latter patients, multiple plastic stents 
      were placed to dilate PDS/PJAS. Four patients with improvement of PDS/PJAS were 
      stent free, but the remaining patients were not yet. CONCLUSIONS: Endoscopic 
      ultrasound/endosonography-guided pancreaticogastrostomy and various procedures 
      (including POPS) performed through the MF are feasible and effective and can 
      diagnose and treat PDS/PJAS with acceptable AEs rates.
CI  - Copyright (c) 2022 Wolters Kluwer Health, Inc. All rights reserved.
FAU - Suzuki, Akinori
AU  - Suzuki A
AD  - From the Department of Gastroenterology, Graduate School of Medicine, Juntendo 
      University, Tokyo, Japan.
FAU - Ishii, Shigeto
AU  - Ishii S
FAU - Fujisawa, Toshio
AU  - Fujisawa T
FAU - Saito, Hiroaki
AU  - Saito H
FAU - Takasaki, Yusuke
AU  - Takasaki Y
FAU - Takahashi, Sho
AU  - Takahashi S
FAU - Yamagata, Wataru
AU  - Yamagata W
FAU - Ochiai, Kazushige
AU  - Ochiai K
FAU - Tomishima, Ko
AU  - Tomishima K
FAU - Isayama, Hiroyuki
AU  - Isayama H
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Pancreas
JT  - Pancreas
JID - 8608542
SB  - IM
MH  - Cholangiopancreatography, Endoscopic Retrograde/methods
MH  - Constriction, Pathologic
MH  - Drainage/methods
MH  - *Endosonography/methods
MH  - *Fistula/etiology/pathology
MH  - Humans
MH  - Pancreatic Ducts/diagnostic imaging/pathology/surgery
MH  - Retrospective Studies
MH  - Stents
MH  - Treatment Outcome
MH  - Ultrasonography, Interventional
COIS- H.I. has received research grant from Fujifilm, Zeon Medical, Piolax, Boston 
      Scientific, and Gadelius Medical and lecture fee from Fujifilm, Olympus, Zeon 
      Medical, Century Medical, Medico's Hirata, Piolax, Cook Medical, Gadelius 
      Medical, and Boston Scientific. The other authors declare no conflict of 
      interest.
EDAT- 2022/05/19 06:00
MHDA- 2022/05/21 06:00
CRDT- 2022/05/18 16:32
PHST- 2022/05/18 16:32 [entrez]
PHST- 2022/05/19 06:00 [pubmed]
PHST- 2022/05/21 06:00 [medline]
AID - 00006676-202203000-00003 [pii]
AID - 10.1097/MPA.0000000000002003 [doi]
PST - ppublish
SO  - Pancreas. 2022 Mar 1;51(3):228-233. doi: 10.1097/MPA.0000000000002003.