Endoscopic intervention strategy for pancreaticoduodenectomy-related cholangiopancreatic diseases

doi:10.16139/j.1007-9610.2023.04.006

Abstract

Abstract:

The pancreaticoduodenectomy-related cholangiopancreatic complications include anastomotic stricture, cholangiopancreatic duct stones, cholangitis, pancreatitis, obstructive jaundice due to tumor recurrence, etc. Because of the complexity of the operation, the multiple organs involved and digestive tract reconstruction, endoscopic retrograde cholangio-pancreatography is difficult to carry out. In this article, we introduced two kinds of endoscopic interventional strategies, retrograde gastrostomy via biliary/pancreaticojejunostomy and endoscopic ultrasonography (EUS)-guided biliary drainage/ EUS-guided pancreatic drainage through digestive wall to provide some reference for clinicians.

Key words: Endoscopic retrograde cholangio-pancreatography, Pancreaticoduodenectomy, Single balloon enteroscopy, short form, Endoscopic ultrasonography-guide

CLC Number:

DONG Yuanhang, CHEN Jie. Endoscopic intervention strategy for pancreaticoduodenectomy-related cholangiopancreatic diseases[J]. Journal of Surgery Concepts & Practice, 2023, 28(04): 307-309.

References 11

[1]	QIN R, KENDRICK M L, WOLFGANG C L, et al. International expert consensus on laparoscopic pancreaticoduodenectomy[J]. Hepatobiliary Surg Nutr, 2020, 9(4):464-483. doi: 10.21037/hbsn URL
[2]	田雨霖. 胰头癌术式选择30年的变化——Whipple手术扩大手术保留功能手术[J]. 中国实用外科杂志, 2009, 29(1):11-14.
	TIAN Y L. Changes in the selection of surgical procedures for pancreatic head cancer over the past 30 years—Whipple surgery, expanded surgery, preservation of function surgery[J]. Chin J Pract Surg, 2009, 29(1):11-14.
[3]	YEO C J, CAMERON J L, LILLEMOE K D, et al. Pancrea-ticoduodenectomy with or without distal gastrectomy and extended retroperitoneal lymphadenectomy for periampullary adenocarcinoma, part 2: randomized controlled trial evaluating survival, morbidity, and mortality[J]. Ann Surg, 2002, 236(3):355-366. doi: 10.1097/00000658-200209000-00012 URL
[4]	TEOH A Y B, DHIR V, KIDA M, et al. Consensus guidelines on the optimal management in interventional EUS procedures: results from the Asian EUS Group RAND/UCLA expert panel[J]. Gut, 2018, 67(7):1209-1228. doi: 10.1136/gutjnl-2017-314341 pmid: 29463614
[5]	中华医学会消化内镜学分会ERCP学组, 中国医师协会消化医师分会胆胰学组, 国家消化系统疾病临床医学研究中心. 中国ERCP指南(2018版)[J]. 中华内科杂志, 2018, 57(11):772-801.
	ERCP Group, Chinese Society of Digestive Endoscopo-logy, Biliopancreatic Group, Chinese Association of Gastroenterologist and Hepatologist, National Clinical Research Center for Digestive Diseases. Chinese guidelines for ERCP (2018)[J]. Chin J Intern Med, 2018, 57(11):772-801.
[6]	中华医学会消化内镜学分会小肠镜和胶囊内镜学组. 中国小肠镜临床应用指南[J]. 现代消化及介入诊疗, 2018, 23(5):672-678.
	Enteroscopy Group of Chinese Society of Digestive Endoscopy. Clinical guidelines for enteroscopy in China[J]. Mod Dig Intervention, 2018, 23(5):672-678.
[7]	曹俊, 唐德华, 丁希伟, 等. 短单气囊小肠镜在Roux-en-Y术后患者经内镜逆行胰胆管造影中的应用[J]. 中华消化内镜杂志, 2021, 38(2):138-142.
	CAO J, TANG D H, DING X W, et al. Clinical application of short-type single balloon enteroscope to endoscopic retrograde cholangiopancreatography in patients with Roux-en-Y anastomosis[J]. Chin J Dig Endosc, 2021, 38(2):138-142.
[8]	TANISAKA Y, RYOZAWA S, ITOI T, et al. Efficacy and factors affecting procedure results of short-type single-balloon enteroscopy-assisted ERCP for altered anatomy: a multicenter cohort in Japan[J]. Gastrointest Endosc, 2022, 95(2):310-318. doi: 10.1016/j.gie.2021.09.008 URL
[9]	GUO J, GIOVANNINI M, SAHAI A V, et al. A multi-institution consensus on how to perform EUS-guided biliary drainage for malignant biliary obstruction[J]. Endosc Ultrasound, 2018, 7(6):356-365. doi: 10.4103/eus.eus_53_18 pmid: 30531022
[10]	KOGURE H, SATO T, NAKAI Y, et al. Endoscopic management of pancreatic diseases in patients with surgically altered anatomy: clinical outcomes of combination of double-balloon endoscopy- and endoscopic ultrasound-guided interventions[J]. Dig Endosc, 2021, 33(3):441-450. doi: 10.1111/den.v33.3 URL
[11]	VAN DER MERWE S W, VAN WANROOIJ R L J, BRONSWIJK M, et al. Therapeutic endoscopic ultrasound: European Society of Gastrointestinal Endoscopy (ESGE) guideline[J]. Endoscopy, 2022, 54(2):185-205. doi: 10.1055/a-1717-1391 URL

[1]	LI Wen. Development and prospects of ERCP in China [J]. Journal of Surgery Concepts & Practice, 2023, 28(04): 279-282.
[2]	ZHANG Ling, ZOU Duowu. The role of ERCP in the diagnosis and treatment of chronic pancreatitis [J]. Journal of Surgery Concepts & Practice, 2023, 28(04): 283-287.
[3]	WANG Zhenyu. Endoscopic diagnosis and treatment of benign pancreatic diseases [J]. Journal of Surgery Concepts & Practice, 2023, 28(04): 288-295.
[4]	WENG Mingzhe, WANG Xuefeng. Application experience of enteroscopy ERCP in benign biliary stricture after cholecystojejunostomy [J]. Journal of Surgery Concepts & Practice, 2023, 28(04): 296-299.
[5]	NIE Haihang, WANG Fan, WANG Hongling, ZHAO Qiu. Risk factors and prevention methods for post-ERCP pancreatitis [J]. Journal of Surgery Concepts & Practice, 2023, 28(04): 310-315.
[6]	YE Feng, GONG Xiaoyong, REN Jiajun, CAI Qiang, CHEN Sheng. Application of ERCP in diagnosis and treatment of biliary complications during perioperative period of primary liver cancer [J]. Journal of Surgery Concepts & Practice, 2023, 28(04): 355-360.
[7]	HU Xianrong, YANG Dangdang, WU Jun, ZHAO Yi, CHEN Cui, ZHANG Ting, HU Bing. Diagnostic application of SpyGlass in indeterminate stricture of hilar bile duct [J]. Journal of Surgery Concepts & Practice, 2023, 28(04): 361-365.
[8]	YU Lan, ZHANG Yongyi, HUANG Lei, WAN Xin, JIANG Shengyao, TANG Sijing, ZHANG Jun, HU Weiguo. Risk factors of severe postoperative complications in elderly patients with pancreaticoduodenectomy [J]. Journal of Surgery Concepts & Practice, 2023, 28(02): 139-146.
[9]	XU Yu, ZHANG Junfeng, HUA Rong. Use of octreotide for prevention of pancreatic leak after pancreatoduodenectomy: study progress [J]. Journal of Surgery Concepts & Practice, 2022, 27(01): 83-86.
[10]	LIANG Yun, JIANG Chongyi, ZHAO Liting, WANG Hongwei, HU Pengfei, CAI Zhiwei, WANG Wei. Laparoscopic pancreaticoduodenectomy in elderly patients: a feasibility study [J]. Journal of Surgery Concepts & Practice, 2020, 25(01): 60-64.
[11]	WANG Hebin, PENG Feng, ZHU Feng, WANG Min, QIN Renyi. Laparoscopic versus open pancreaticoduodenectomy: short-term clinical efficacy evaluation [J]. Journal of Surgery Concepts & Practice, 2019, 24(03): 222-225.
[12]	LI Wei, XU Zhiwei. Abdominal dual tube drainage with continuous irrigation in treatment of pancreatic fistula after pancreatoduodenectomy [J]. Journal of Surgery Concepts & Practice, 2019, 24(01): 51-54.
[13]	WANG Weishen, ZHAN Qian, WANG Wei, DENG Xiaxing, SHEN Baiyong, PENG Chenghong. Study on prediction of postoperative pancreatic fistula after pancreaticoduodenectomy and distal pancreatectomy [J]. Journal of Surgery Concepts & Practice, 2018, 23(05): 440-445.
[14]	. [J]. Journal of Surgery Concepts & Practice, 2017, 22(02): 129-133.
[15]	. [J]. Journal of Surgery Concepts & Practice, 2017, 22(02): 123-128.