Olympus reviewed the following literature "case report transjejunal endoscopic ultrasound-guided pancreatic drainage for pancreatic jejunostomy stricture using a forward-viewing echoendoscope in a patient with altered anatomy." literature summary: pancreatic jejunostomy stricture (pjs) is one of the major late complications after pancreaticoduodenectomy.Endoscopic ultrasound-guided pancreatic drainage (eus-pd) is considered a salvage treatment for symptomatic pjs after endoscopic retrograde pancreatography failure; however, the technical success rate of the endoscopic treatment of pjs remains unsatisfactory, mainly due to surgically altered anatomy.Herein, we describe a case of pjs successfully treated with transjejunal eus-pd using a forward-viewing echoendoscope.A (b)(6) man who suffered from repetitive severe back pain due to pjs was referred to our hospital.Since transgastric eus-pd was difficult, we attempted transjejunal eus-pd using a forward-viewing echoendoscope.To facilitate scope insertion, we first straightened the afferent jejuna! loop and placed a stiff guidewire.With this scheme, we successfully performed transjejunal eus-pd and placed a 5-fr plastic stent.In conclusion, this technique is useful for treating patients with pjs when transgastric euspd is difficult. type of adverse events/number of patients: acute pancreatitis n=1. this article includes 3 reports: patient identifier (b)(6): na-u200h-8019.Patient identifier (b)(6): sif-h290s.Patient identifier (b)(6): tgf-uc260j.This report is 3 of 3 for patient identifier (b)(6): tgf-uc260j.
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This report is being supplemented to provide additional information based on the legal manufacturer's final investigation.The device history record was unable to be reviewed for this device since the serial number was not provided.However, olympus only releases products to market that meet all manufacturing specifications and final product release criteria.Based on the results of the investigation, the relationship between the device and the adverse event cannot be confirmed.There was no complaint reported on the subject device.There is no evidence of an olympus device malfunction.Olympus will continue to monitor field performance for this device.
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