@article{40749348ef2d4a30b8f27f7ffc910d78,
title = "Successful endoscopic treatment of severe pancreaticojejunostomy strictures by puncturing the anastomotic site with an EUS-guided guidewire",
abstract = "Pancreaticojejunostomy stricture (PJS) is a late complication of pancreaticoduodenectomy. The endoscopic treatment of PJS is very challenging due to the difficulty of locating the small anastomotic site and passing the stricture using a guidewire. We herein report two cases of severe PJS. These patients could not be treated using only double-balloon endoscopy or endoscopic ultrasound-guided puncture of the main pancreatic duct because of severe stenosis at the anastomotic site. However, we could treat them by the rendezvous technique using the rigid part of the guidewire to penetrate PJS. This method was useful and safe for treating severe PJS.",
keywords = "Endoscopic ultrasound, Late complication, Pancreaticoduodenectomy, Pancreaticojejunostomy stricture, Rendezvous technique",
author = "Tatsuhide Nabeshima and Atsushi Kanno and Atsushi Masamune and Hiroki Hayashi and Seiji Hongo and Naoki Yoshida and Eriko Nakano and Shin Miura and Shin Hamada and Kazuhiro Kikuta and Kiyoshi Kume and Morihisa Hirota and Michiaki Unno and Tooru Shimosegawa",
note = "Publisher Copyright: {\textcopyright} 2018 The Japanese Society of Internal Medicine.",
year = "2018",
doi = "10.2169/internalmedicine.9133-17",
language = "English",
volume = "57",
pages = "357--362",
journal = "Internal Medicine",
issn = "0918-2918",
publisher = "Japanese Society of Internal Medicine",
number = "3",
}