Teh Jun Liang, Teoh Anthony Yuen Bun
Department of Surgery, Juronghealth Campus, National University Health System, Singapore 609606, Singapore.
Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong.
J Clin Med. 2023 Feb 17;12(4):1626. doi: 10.3390/jcm12041626.
Endoscopic ultrasound guided-pancreatic duct drainage (EUS- PDD) is one of the most technically challenging procedures for the interventional endoscopist. The most common indications for EUS- PDD are patients with main pancreatic duct obstruction who have failed conventional endoscopic retrograde pancreatography (ERP) drainage or those with surgically altered anatomy. EUS- PDD can be performed via two approaches: the EUS-rendezvous (EUS- RV) or the EUS-transmural drainage (TMD) techniques. The purpose of this review is to provide an updated review of the techniques and equipment available for EUS- PDD and the outcomes of EUS- PDD reported in the literature. Recent developments and future directions surrounding the procedure will also be discussed.
内镜超声引导下胰管引流术（EUS-PDD）是介入内镜医师面临的技术难度最大的操作之一。EUS-PDD最常见的适应证是主胰管梗阻且传统内镜逆行胰胆管造影术（ERP）引流失败的患者，或解剖结构已手术改变的患者。EUS-PDD可通过两种方法进行：内镜超声会师法（EUS-RV）或内镜超声透壁引流术（TMD）。本综述的目的是对EUS-PDD可用的技术和设备以及文献中报道的EUS-PDD的结果进行更新综述。还将讨论该操作的最新进展和未来方向。
