EUS-guided transenteric pancreatic duct drainage

Best Pract Res Clin Gastroenterol. 2022 Sep-Dec:60-61:101815. doi: 10.1016/j.bpg.2022.101815. Epub 2022 Dec 10.


Endoscopic drainage requires transpapillary access to the pancreatic duct during ERCP. When ERCP failed, EUS-guided pancreatico-gastro or bulbostomy and/or rendez-vous technique offers an alternative to surgery. Although data has demonstrated that the procedure can be safe and effective, EUS-guided PD drainage remains one of the most technically challenging therapeutic EUS interventions, as evidenced by the multiple considerations on device selection and the risk of severe complications.

Keywords: EUS guided Pancreatic duct drainage; Failed ERCP; Rendez-vous technique.

Publication types

  • Review

MeSH terms

  • Cholangiopancreatography, Endoscopic Retrograde
  • Drainage / methods
  • Endosonography* / methods
  • Humans
  • Pancreatic Ducts / diagnostic imaging
  • Pancreatic Ducts / surgery
  • Ultrasonography, Interventional* / methods