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Erin Y. Chew, BS, Bibin T. Varghese, BS, Robert J. Sealock, MD 

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Presentation on theme: "Erin Y. Chew, BS, Bibin T. Varghese, BS, Robert J. Sealock, MD "— Presentation transcript:

1 Pancreatic duct rendezvous with pancreatoscopy through the minor papilla 
Erin Y. Chew, BS, Bibin T. Varghese, BS, Robert J. Sealock, MD  VideoGIE  Volume 3, Issue 4, Pages (April 2018) DOI: /j.vgie Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

2 Figure 1 CT view of the abdomen and pelvis showing marked dilation of the pancreatic duct measuring up to 1.1 cm with a subtle, hypodense filling defect within the distal pancreatic duct near the head of the pancreas. VideoGIE 2018 3, DOI: ( /j.vgie ) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

3 Figure 2 CT view of the abdomen and pelvis showing a circumscribed cystic lesion containing simple fluid along the undersurface of the pancreatic tail measuring 7.9 cm in largest diameter. VideoGIE 2018 3, DOI: ( /j.vgie ) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

4 Figure 3 MRCP view revealing a filling defect in the pancreatic duct, marked ascites, and a pseudocyst compressing the stomach. VideoGIE 2018 3, DOI: ( /j.vgie ) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

5 Figure 4 Endoscopic retrograde pancreatogram demonstrating pancreatic duct dilation to 10 mm in the body and a large filling defect of the distal body occupying the majority of the pancreatic duct lumen. VideoGIE 2018 3, DOI: ( /j.vgie ) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

6 Figure 5 Endoscopic retrograde pancreatogram showing that the wire could not be advanced beyond the distal genu around the pancreatic lesion. VideoGIE 2018 3, DOI: ( /j.vgie ) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

7 Figure 6 EUS-directed pancreatogram after puncture of the pancreatic duct proximal to the intraluminal lesion with an FNA needle through the stomach wall, revealing a diffusely dilated pancreatic duct. VideoGIE 2018 3, DOI: ( /j.vgie ) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions


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