Indications for Endoscopic Ultrasound-Guided Pancreatic Drainage: For Benign or Malignant Cases?

Figure 1

The EUS-PD procedure for a patient with obstructive pancreatitis due to pancreatic head cancer. (a) The pancreatic duct was punctured via the stomach with a 19-gauge needle under EUS guidance. (b) The pancreatogram was obtained by the injection of contrast agent. (c) A 0.025-inch guidewire was advanced into the pancreatic duct, and the tract was dilated using a long-tapered catheter or a diathermy catheter. (d) A 7-Fr plastic stent was inserted over the guidewire.

(a)

(b)

(c)

(d)