{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T22:26:47Z","timestamp":1771540007565,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,9,15]],"date-time":"2019-09-15T00:00:00Z","timestamp":1568505600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Digestive Endoscopy"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:sec><jats:title>Background and Aim<\/jats:title><jats:p>Endoscopic ultrasonography\u2010guided pancreatic ductal intervention (<jats:styled-content style=\"fixed-case\">EUS<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">PDI<\/jats:styled-content>) serves as a rescue therapy in patients with failure of retrograde access to the pancreatic duct (<jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>) at the time of endoscopic retrograde pancreatography (<jats:styled-content style=\"fixed-case\">ERP<\/jats:styled-content>). We review our experience of this procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is a retrospective study of patients who underwent <jats:styled-content style=\"fixed-case\">EUS<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">PDI<\/jats:styled-content> for an unsuccessful <jats:styled-content style=\"fixed-case\">ERP<\/jats:styled-content> and altered anatomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 44 (65.9% male) patients underwent <jats:styled-content style=\"fixed-case\">EUS<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">PDI<\/jats:styled-content> with a mean age of 43.5\u00a0years, (range: 23\u201367). Transgastric rendezvous technique was carried out in 23\/44 (52.3%), transgastric pancreaticogastrostomy in 18\/44 (40.9%) and transduodenal pancreaticobulbostomy in 3\/44 (6.8%). Overall technical and clinical success was seen in 88.6% (39\/44) and 81.8% (36\/44), respectively. Technical success of transgastric rendezvous was 95.6% and that of transgastric pancreaticogastrostomy was 77.8%. Two of seven patients with failure to access the <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> had successfully undergone <jats:styled-content style=\"fixed-case\">EUS<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> stenting at subsequent attempt. Ten immediate adverse events (AE) were noted which included abdominal pain (<jats:italic>n<\/jats:italic>\u00a0=\u00a04), pancreatitis (<jats:italic>n<\/jats:italic>\u00a0=\u00a02), fever (<jats:italic>n<\/jats:italic>\u00a0=\u00a02), minor bleeding (<jats:italic>n<\/jats:italic>\u00a0=\u00a01), and stripping of wire (<jats:italic>n<\/jats:italic>\u00a0=\u00a01). Delayed AE included stent blockage in 12\/39 (30.8%) and spontaneous stent migration in 5\/39 (12.8%) which were managed with stent exchange at follow up. The rendezvous technique was associated with fewer AE than transgastric pancreaticogastrostomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Endoscopic ultrasonography\u2010<jats:styled-content style=\"fixed-case\">PDI<\/jats:styled-content> is an effective treatment modality and salvage therapy in patients with unsuccessful <jats:styled-content style=\"fixed-case\">ERP<\/jats:styled-content>. Technical and clinical success seen with this study is comparable to studies conducted across the world. <jats:styled-content style=\"fixed-case\">EUS<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">PDI<\/jats:styled-content> needs to show cost\u2010effectiveness in future studies.<\/jats:p><\/jats:sec>","DOI":"10.1111\/den.13504","type":"journal-article","created":{"date-parts":[[2019,8,6]],"date-time":"2019-08-06T08:20:46Z","timestamp":1565079646000},"page":"409-416","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["Six\u2010year retrospective analysis of endoscopic ultrasonography\u2010guided pancreatic ductal interventions at a tertiary referral center"],"prefix":"10.1111","volume":"32","author":[{"given":"Ankit","family":"Dalal","sequence":"first","affiliation":[{"name":"Baldota Institute of Digestive Sciences Global Hospital Mumbai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gaurav","family":"Patil","sequence":"additional","affiliation":[{"name":"Baldota Institute of Digestive Sciences Global Hospital Mumbai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amit","family":"Maydeo","sequence":"additional","affiliation":[{"name":"Baldota Institute of Digestive Sciences Global Hospital Mumbai India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,9,15]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v16.i38.4755"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11894-007-0006-3"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/201681"},{"key":"e_1_2_8_5_1","first-page":"49","article-title":"Difficult endoscopic retrograde cholangiopancreatography","volume":"10","author":"Baillie J","year":"2014","journal-title":"Gastroenterol. 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