Endoscopic ultrasound-guided pancreatic duct drainage: technical approaches to a challenging procedure.

Endoscopic ultrasound-guided pancreatic duct drainage (EUS-PDD) is an effective treatment modality for pancreatic pathologies, including chronic pancreatitis, major or minor papilla inaccessible via endoscopic retrograde cholangiopancreatography, and postsurgical pancreaticoenterostomy stricture [1,2]. Technically, however, EUS-PDD can be very difficult and is potentially associated with significant complications [3]. The following series of videos aims to improve the understanding and performance of EUS-PDD by describing the three approaches to this challenging procedure (●" Video1): the transluminal stenting, anterograde drainage, and rendezvous method. To our knowledge, this is the first published video series focused on the different methods and steps of this intricate procedure. Case 1 describes a 55-year-old manwith a pancreaticoenterostomy stricture following Whipple surgery. It showcases the transluminal approach, where a stent is placedupstreamfromthestrictureforming a pancreaticogastrostomy (●" Fig.1a– c, ●" Video 2). The patient’s symptoms improved dramatically following the procedure. Case 2 is another example of the transluminal approach; however, this time it demonstrates the creation of a pancreaticoduodenostomy with the insertion of