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Volume 4, Issue 4, Pages (April 2019)

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Presentation on theme: "Volume 4, Issue 4, Pages (April 2019)"— Presentation transcript:

1 Volume 4, Issue 4, Pages 169-171 (April 2019)
Endoscopic rescue therapy of a distally perforated, retroperitoneal stent after EUS- guided pancreaticogastrostomy  Johannes Maubach, MD, Stefan Christen, MD, Andrew J. Macpherson, MD, PhD, Mathias Worni, MD, MHS  VideoGIE  Volume 4, Issue 4, Pages (April 2019) DOI: /j.vgie Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

2 Figure 1 CT scan showing dilated distal pancreatic duct (PD) secondary to a combination of ductal stenosis and intraductal stones in the pancreatic head. VideoGIE 2019 4, DOI: ( /j.vgie ) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

3 Figure 2 EUS view showing additional prestenotic intraductal sludge in pancreatic duct (PD). VideoGIE 2019 4, DOI: ( /j.vgie ) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

4 Figure 3 Puncture of pancreatic duct (PD) with injection of contrast material confirming ductal stenosis with intraductal sludge and also showing distal duct leakage. VideoGIE 2019 4, DOI: ( /j.vgie ) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

5 Figure 4 Transgastric pancreaticogastrostomy (PGS) stent in situ.
VideoGIE 2019 4, DOI: ( /j.vgie ) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

6 Figure 5 Transgastric puncture of the fluid collection and injection of contrast material revealing a sealed abscess. PGS, Pancreaticogastrostomy. VideoGIE 2019 4, DOI: ( /j.vgie ) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

7 Figure 6 Difficult wire insertion into the semilunar-shaped abscess.
VideoGIE 2019 4, DOI: ( /j.vgie ) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

8 Figure 7 Tip of an 8.5F stent inserted into the retroperitoneal abscess. VideoGIE 2019 4, DOI: ( /j.vgie ) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions


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