Division of Gastroenterology, Washington University in St. Louis, 660 South Euclid Avenue, MSC 8124-21-427, St Louis, MO 63110, USA. Electronic address: https://twitter.com/TrieuMD.
Division of Gastroenterology, Bezmialem Foundation University, Bezmialem Vakif University School of Medicine, Adnan Menderes Boulevard, Fatih, Istanbul 34093, Turkey.
Gastrointest Endosc Clin N Am. 2024 Jul;34(3):501-510. doi: 10.1016/j.giec.2024.02.002. Epub 2024 Mar 13.
Endoscopic ultrasound-guided pancreatic duct drainage (EUS-PDD) is a method of decompressing the pancreatic duct (PD) if unable to access the papilla or surgical anastomosis, particularly in nonsurgical candidates. The 2 types of EUS-PDD are EUS-assisted pancreatic rendezvous (EUS-PRV) and EUS-guided pancreaticogastrostomy (EUS-PG). EUS-PRV should be considered in patients with accessible papilla or anastomosis, while EUS-PG is a comparable alternative in surgically altered foregut anatomy. While technical and clinical successes range from 79% to 100%, adverse events occur in approximately 20%. A multidisciplinary approach that considers the patient's anatomy, clinical indication, and long-term goals should be discussed with surgical and interventional radiology colleagues.
内镜超声引导下胰管引流术（EUS-PDD）是一种在无法触及乳头或手术吻合口时对胰管（PD）进行减压的方法，尤其适用于非手术患者。EUS-PDD 有两种类型，分别是内镜超声辅助胰管会师术（EUS-PRV）和内镜超声引导下胰胃吻合术（EUS-PG）。对于可触及乳头或吻合口的患者，应考虑采用 EUS-PRV 治疗，而对于外科改变的上消化道解剖结构，EUS-PG 是一种可比较的替代方法。尽管技术和临床成功率在 79%至 100%之间，但不良事件的发生率约为 20%。应与外科和介入放射学同事讨论考虑患者解剖结构、临床适应证和长期目标的多学科方法。
