Volume 2, Issue 11, Pages (November 2017)

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Volume 2, Issue 11, Pages 315-316 (November 2017) Successful EUS-guided nondilated pancreatic duct stent placement in patient with refractory pancreatic fistula after pancreaticoduodenectomy Kazuhiro Minami, MD, Eisuke Iwasaki, MD, PhD, Takao Itoi, MD, PhD, Taizo Hibi, MD, PhD, Takanori Kanai, MD, PhD VideoGIE Volume 2, Issue 11, Pages 315-316 (November 2017) DOI: 10.1016/j.vgie.2017.07.012 Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 Contrast-enhanced CT view of the abdomen showing the abscess around the pancreaticojejunal anastomosis (arrow). VideoGIE 2017 2, 315-316DOI: (10.1016/j.vgie.2017.07.012) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 EUS view showing nondilated pancreatic duct (arrow); diameter was 1.0 mm. VideoGIE 2017 2, 315-316DOI: (10.1016/j.vgie.2017.07.012) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 3 EUS-guided pancreatic drainage performed with a 22-gauge needle. VideoGIE 2017 2, 315-316DOI: (10.1016/j.vgie.2017.07.012) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 4 Attempt to pass a 0.018-inch guidewire antegrade through the puncture site to the pancreatic head (arrow). VideoGIE 2017 2, 315-316DOI: (10.1016/j.vgie.2017.07.012) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 5 Stepwise dilation with several dilators (ES-dilator and Soehendra dilator); passage of a tapered catheter through the anastomosis into the intestine (arrow). VideoGIE 2017 2, 315-316DOI: (10.1016/j.vgie.2017.07.012) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 6 Stent placement with the use of EUS-guided pancreatic drainage; placement of a 7F plastic stent from the stomach into the pancreatic duct with the distal part in the intestine. VideoGIE 2017 2, 315-316DOI: (10.1016/j.vgie.2017.07.012) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions