超声内镜引导下胰管穿刺引流术 (endoscopic ultrasonography-guided pancreatic duct drainage, EUS-PD)是ERCP胰管插管失败后的重要补救措施。 本文报道一例十二指肠乳头癌切除术后出现复发性胰腺炎，经超声内镜诊断为胰管内占位性病变，ERCP插管失败后行超声内镜引导下会师术 (EUS-guided rendezvous，EUS-RV)，术中成功取出胰管内占位性病变，获得病理诊断，并解除胰管梗阻，术后无并发症发生。 引用本文: 熊伟, 郭学刚, 张林慧, 等. 内镜超声下胰管会师术治疗 …

2024年6月17日 · 为解决这一困难，超声内镜引导下胰管引流（EUS-guided pancreatic duct drainage, EUS-PD）可作为有效治疗方式。 EUS-PD主要应用于：（1）胰管压力过高、胰管严重狭窄、主胰管扩张且不适合行外科手术或ERP失败患者；（2）术后解剖结构改变的患者，如Whipple术后胰空肠吻合口或胰胃吻合口狭窄，因复发性胰腺炎或慢性胰腺炎导致主胰管狭窄，须行胰管引流的患者。 ERP失败的定义：（1）不能到达十二指肠乳头；（2）导丝无法进入胰 …

2024年12月17日 · EUS-PD has a technical success rate ranging from 25 to 92%, albeit with a complication rate spanning from 14 to 40%, primarily comprising bleeding, perforation, pancreatitis, and pain. Long-term clinical success, measured by pain and symptom relief, falls within a range of 65–85%.

eus-pd是指在eus实时引导下穿刺入扩张的胰管，并置入胰管支架以引流胰液的操作。 EUS-PD适用于因胰管阻塞、术后解剖结构改变或十二指肠狭窄而无法行ERCP的患者。

Endoscopic ultrasound-guided pancreatic duct drainage (EUS-PD) is considered as a feasible alternative to surgical or percutaneous drainage in patients with pancreatic ductal (PD) obstruction in whom endoscopic retrograde pancreatography (ERP) has been unsuccessful.

对于无法施行ERCP的患者来说，超声内镜引导下胰管穿刺引流术（endoscopic ultrasound-guided pancreatic duct drainage，EUS-PD）是一种颇具应用前景的处理胰管高压的内镜微创治疗方法，文献报道其具有较高的操作成功率及较低的并发症发生率。

There are two approaches in EUS-PD: EUS-guided rendezvous (EUS-RV) and EUS-guided transmural drainage (EUS-TMD). In cases with normal anatomy, EUS-RV should be the first approach, whereas EUS-TMD can be selected in cases with SAA or duodenal obstruction.

超声内镜引导下胰管穿刺引流术（eus-pd）是一种针对胰管梗阻引起胰管高压的新型治疗方法。随着技术的成熟，eus-pd操作成功率不断提高，不良事件发生率不断下降，已成为内镜逆行胰胆管造影治疗失败后的有效补救手段。

Background and objectives: Endoscopic ultrasound-guided pancreatic duct drainage (EUS-PD) has emerged as a minimally invasive therapeutic option for patients who cannot undergo traditional retrograde access to the pancreatic duct due to difficulties in cannulation or surgically altered anatomy.

2018年11月6日 · In this chapter, we will describe the EUS-PD technique and highlight the current literature on EUS as a modality for pancreatic duct access and drainage, evaluating the strengths and limitations of prior studies, and propose recommendations therapeutic endoscopists can consider when cannulation of the PD fails with conventional ERCP.