Use of a transpapillary stent as a guidepost for endoscopic ultrasound-guided pancreatic duct drainage in the treatment of disconnected pancreatic duct syndrome.

Disconnected pancreatic duct syndrome (DPDS) is an important complication in patients with acute necrotising pancreatitis that leads to recurrent pancreatic fluid collection. Endoscopic treatments including transpapillary and/or ultrasound-guided drainage are typically used and are minimally invasive [1] [2] [3]. Although bridging the pancreatic duct (PD) over a disruption with a stent is ideal, it is a technically challenging procedure [4] [5]. Herein, we report a pincer method to bridge the PD via endoscopic ultrasound-guided pancreatic duct drainage (EUS-PD) using a transpapillary stent as a guidepost.