Abstract Pain in patients with chronic pancreatitis with dilated main pancreatic duct (MPD) is mainly due to ductal hypertension, which can be relieved by ductal drainage. Endoscopic retrograde cholangiopancreatography (ERCP) and MPD stenting are usually the preferred choice. However, when the papilla is inaccessible or after a failed ERCP, conventional endoscopic drainage is not possible and surgery remains the only available option. Endoscopic ultrasound-guided pancreaticogastrostomy (EUS-PG) is increasingly being used as a minimally invasive procedure for pancreatic drainage in such cases. Hereby, we report a case of a patient with segmental groove pancreatitis with duodenal stricture post-gastrojejunostomy who was managed with EUS-PG with significant long-term relief of symptoms.
Mathur et al. (2026) studied this question.