A 14-year-old boy presented to our care with severe necrotizing pancreatitis secondary to a psychiatric medication. He had developed walled-off pancreas necrosis (WOPN) in the body of the pancreas that had become infected, as evidenced by air within a 10-cm collection on computed tomography (CT) scanning, fevers to 102°F, tachycardia, and leukocytosis. The CT scan showed the collection had a ma...

S28 ENDOSCOPIC ULTRASOUND / VOLUME 6 / SUPPLEMENT 1 / AUGUST 2017 Mitsuyoshi Honjo, Mitsuru Fujita, Kenjiro Yamamoto, Yukitoshi Matsunami, Yasutsugu Asai, Takao Itoi Tokyo Medical University, Tokyo, Japan Background and Objectives: Endoscopic ultrasoundguided transluminal drainage (EUS-TD) and sequential direct endoscopic necrosectomy (DEN) for pancreatic fluid collections (PFCs) have been repo...

A 59-year-old man had chronic calcific pancreatitis secondary to alcohol and smoking. He had acute flares of pain and elevation of serum pancreatic enzymes. A CT scan revealed features of chronic pancreatitis, including large pancreatic duct calculi in the dilated main duct. On previous ERCP examination 2 months prior, removal of a 15-mm impacted pancreatic stone near the genu was not attempted...

S28 ENDOSCOPIC ULTRASOUND / VOLUME 6 / SUPPLEMENT 1 / AUGUST 2017 Mitsuyoshi Honjo, Mitsuru Fujita, Kenjiro Yamamoto, Yukitoshi Matsunami, Yasutsugu Asai, Takao Itoi Tokyo Medical University, Tokyo, Japan Background and Objectives: Endoscopic ultrasoundguided transluminal drainage (EUS-TD) and sequential direct endoscopic necrosectomy (DEN) for pancreatic fluid collections (PFCs) have been repo...

S28 ENDOSCOPIC ULTRASOUND / VOLUME 6 / SUPPLEMENT 1 / AUGUST 2017 Mitsuyoshi Honjo, Mitsuru Fujita, Kenjiro Yamamoto, Yukitoshi Matsunami, Yasutsugu Asai, Takao Itoi Tokyo Medical University, Tokyo, Japan Background and Objectives: Endoscopic ultrasoundguided transluminal drainage (EUS-TD) and sequential direct endoscopic necrosectomy (DEN) for pancreatic fluid collections (PFCs) have been repo...

CONTEXT Although there exists multiple modalities of managing traumatic pancreatic pseudocysts it remains a diagnostic and therapeutic challenge. We report herein a case that was successfully managed by endoscopic ultrasound guided transgastric stent placement. CASE REPORT A 28-year-old female jockey presented with abdominal pain after being kicked by a horse. Computerised tomography and magn...

We performed endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy for pancreatic stent placement on a 55-year-old woman with a dilated pancreatic duct, pancreatic duct stone, and chronic pancreatitis. During follow-up ERCP, the lithotripter traction wire fractured during electrohydraulic lithotripsy and mechanical lithotripsy. Multiple attempts using standard techniques to ...