Endoscopic management of large pancreatic stones in patient after lateral pancreaticojejunostomy

A 38-year-old woman came to us because she had experienced moderate to severe central abdominal pain radiating to her back for the previous 2 years. She had received a diagnosis of chronic pancreatitis with intracanalar stones 10 years earlier and had undergone lateral pancreaticojejunostomy (LPJ) 8 years earlier after failed pancreatic endotherapy (ERCP). A CT scan was suggestive of post-LPJ status, diffusely atrophic pancreas, dilated pancreatic duct (PD) in the head (1.5 cm), and 2 calculi measuring 1.4 and 1.6 cm in the head region (Fig. 1A).

Source: Gastrointestinal Endoscopy - September 23, 2015 Category: Gastroenterology Authors: Suryaprakash Bhandari, Kushal Sanghvi, Atul Sharma, Nikhil Bondade, Amit Maydeo Tags: VideoGIE Source Type: research