Journal article
Endoscopic Ultrasound-Guided Pancreaticogastrostomy for Pancreatic Duct Stricture in a Patient With Ansa Pancreatica
ACG case reports journal, Vol.12(11), e01876
11/2025
DOI: 10.14309/crj.0000000000001876
PMCID: PMC12622638
PMID: 41256186
Abstract
Necrotizing pancreatitis can lead to challenging complications such as pancreatic duct stricture and pancreatic duct disruption. We report a 59-year-old woman with pancreatic ductal stricture causing pancreatic duct leak, initially managed with endoscopic ultrasound-guided pancreaticogastrostomy (PG) after failed transpapillary access due to ansa pancreatica. At follow-up, the PG stent enabled minor papilla cannulation and successful pancreatic duct stenting. The PG stent was removed, and durable transpapillary drainage was achieved. The patient remained asymptomatic with resolution of ductal and peripancreatic abnormalities. This case highlights a minimally invasive, stepwise endoscopic approach for complex ductal anatomy in necrotizing pancreatitis, avoiding surgical intervention.
Details
- Title: Subtitle
- Endoscopic Ultrasound-Guided Pancreaticogastrostomy for Pancreatic Duct Stricture in a Patient With Ansa Pancreatica
- Creators
- Abdullah A. Abbasi - University of IowaSaurabh Chandan - AdventHealth OrlandoSagar Pathak - AdventHealth OrlandoDennis Yang - AdventHealth OrlandoKambiz Kadkhodayan - AdventHealth OrlandoMuhammad Hasan - AdventHealth OrlandoMustafa A. Arain - AdventHealth Orlando
- Resource Type
- Journal article
- Publication Details
- ACG case reports journal, Vol.12(11), e01876
- DOI
- 10.14309/crj.0000000000001876
- PMID
- 41256186
- PMCID
- PMC12622638
- NLM abbreviation
- ACG Case Rep J
- ISSN
- 2326-3253
- eISSN
- 2326-3253
- Publisher
- Wolters Kluwer
- Language
- English
- Date published
- 11/2025
- Academic Unit
- Internal Medicine
- Record Identifier
- 9985033875202771
Metrics
21 Record Views