Percutaneous Pancreatography for Treatment of Complicated Pancreatic Duct Strictures

Vol. 8, No. 2, 2008

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Brief Report

Percutaneous Pancreatography for Treatment of Complicated Pancreatic Duct Strictures
Dia T. Simmons^a, Todd H. Baron^a, Andrew LeRoy^b, Bret T. Petersen^a

^aDivision of Gastroenterology & Hepatology, Department of Medicine, and
^bDivision of Vascular & Interventional Radiology, Department of Radiology, Mayo Clinic College of Medicine, Rochester, Minn., USA

Address of Corresponding Author

Pancreatology 2008;8:194-198 (DOI: 10.1159/000123608)

Key Words

Endoscopic retrograde pancreatography
Interventional radiology
Pancreatic duct stricture
Percutaneous therapy

Abstract

Background: Percutaneous transhepatic cholangiography was developed over 30 years ago for the diagnosis of biliary disorders. It has become an accepted interventional technique for management of biliary tract diseases, especially in patients who have failed attempted endoscopic retrograde pancreatography or have altered anatomy that makes the biliary tree endoscopically inaccessible. The correlative procedure, which we term 'percutaneous pancreatography' (PP), has only been described once in the literature. Case Presentations: We report the outcome of 4 patients undergoing PP for management of difficult pancreatic duct strictures. In all patients, PP was used to provide access and therapy of otherwise endoscopically impassable pancreatic duct strictures. PP-guided pancreatic stent duct placement was performed and allowed for subsequent successful endoscopic management of complex, benign pancreatic duct obstructions. Conclusions: PP is a useful modality for management of otherwise endoscopically impassable pancreatic duct strictures.

Author Contacts

Todd H. Baron, MD
200 First Street SW, Charlton 8
Rochester, MN 55905 (USA)
Tel. +1 507 266 6931, Fax +1 507 266 3939
E-Mail baron.todd@mayo.edu

Article Information

Received: May 31, 2007
Accepted after revision: September 2, 2007
Published online: April 1, 2008
Number of Print Pages : 5
Number of Figures : 2, Number of Tables : 0, Number of References : 5

Medline Abstract (ID 18382102)

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