{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T00:24:08Z","timestamp":1771460648674,"version":"3.50.1"},"reference-count":18,"publisher":"The Korean Society of Gastrointestinal Endoscopy","issue":"2","license":[{"start":{"date-parts":[[2024,8,26]],"date-time":"2024-08-26T00:00:00Z","timestamp":1724630400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":["e-ce.org"],"crossmark-restriction":true},"short-container-title":["Clin Endosc"],"published-print":{"date-parts":[[2025,3,30]]},"abstract":"<jats:p>Background\/Aims: Endoscopic ultrasound (EUS)-guided pancreatic duct drainage is a well-established procedure for managing pancreaticojejunostomy anastomotic strictures (PJAS) post-Whipple surgery. In this study, we examined the effectiveness and safety of EUS-guided pancreaticojejunostomy (EUS-PJS). Methods: This retrospective, single-arm study was performed at Aichi Cancer Center Hospital on 10 patients who underwent EUS-guided pancreaticojejunostomy through the afferent jejunal loop using a forward-viewing echoendoscope when endoscopic retrograde pancreatography failed. Our primary endpoint was technical success rate, defined as successful stent insertion. The secondary endpoints were early and late adverse events. Results: A total of 10 patients underwent EUS-PJS between February 2019 and October 2023. The technical success rate was 100%. The median procedure time was 23.5 minutes. No remarkable early or late adverse events related to the procedure, except for fever, occurred in two patients. The median follow-up duration was 9.5 months, and the median number of stent exchanges was two. A stent-free state was achieved in three patients. Conclusions: EUS-PJS for PJAS management after pancreaticoduodenectomy appears to be an effective and safe procedure with the potential advantages of fewer reinterventions and the creation of a permanent drainage fistula.<\/jats:p>","DOI":"10.5946\/ce.2024.089","type":"journal-article","created":{"date-parts":[[2024,8,26]],"date-time":"2024-08-26T07:53:31Z","timestamp":1724658811000},"page":"311-319","update-policy":"https:\/\/doi.org\/10.5946\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Safety and efficacy of trans-afferent loop endoscopic ultrasound-guided pancreaticojejunostomy for post pancreaticoduodenectomy anastomotic stricture using the forward-viewing echoendoscope: a retrospective study from Japan"],"prefix":"10.5946","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-6470-400X","authenticated-orcid":true,"given":"Ahmed","family":"Sadek","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4699-6136","authenticated-orcid":true,"given":"Kazuo","family":"Hara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6376-687X","authenticated-orcid":true,"given":"Nozomi","family":"Okuno","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7578-5610","authenticated-orcid":true,"given":"Shin","family":"Haba","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8348-8926","authenticated-orcid":true,"given":"Takamichi","family":"Kuwahara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8557-6428","authenticated-orcid":true,"given":"Toshitaka","family":"Fukui","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8143-2893","authenticated-orcid":true,"given":"Minako","family":"Urata","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7570-4547","authenticated-orcid":true,"given":"Takashi","family":"Kondo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9312-2207","authenticated-orcid":true,"given":"Yoshitaro","family":"Yamamoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0065-7139","authenticated-orcid":true,"given":"Kenneth","family":"Tachi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3961","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.9133-17"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-015-3012-z"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2009.10.027"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.5946\/ce.2020.173"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2010.10.015"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2009.10.048"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1055\/s-0029-1215081"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1055\/s-0044-101753"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.4103\/sjg.sjg_474_18"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1055\/s-0033-1358923"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1391245"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.vgie.2018.03.009"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.4103\/eus.eus_72_20"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1111\/den.13504"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1111\/jgh.14897"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2015.07.015"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1111\/den.14447"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/8216109"}],"container-title":["Clinical 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