Abstract
A 47-year-old female with history of chronic alcohol-related pancreatitis presented with dysphagia and mild weight loss. Esophagram demonstrated a stricture of the distal esophagusre sembling a bird's beak (Figure 1). Esophagogastroduodenoscopy showed a nonrelaxing distal esophagus, with balloon dilation unsuccessful in relieving her symptoms.
Highlights
A 47-year-old female with history of chronic alcohol-related pancreatitis presented with dysphagia and mild weight loss
Endoscopic retrograde cholangiopancreatography (ERCP) demonstrated a high-grade stricture at the genu with upstream pancreatic duct (PD) dilation and communication with the pseudocyst, transpapillary pseudocyst drainage with a double pigtail stent was performed while stenting the PD stricture (Figure 3)
After serial PD stenting during subsequent ERCPs, the patient’s dysphagia, PD stricture, and pseudocyst resolved
Summary
A 47-year-old female with history of chronic alcohol-related pancreatitis presented with dysphagia and mild weight loss. Transpapillary Drainage of Persistent Pseudocyst Causing Dysphagia Grace E Kim, MD1*, David Y Lo, MD, FACG, FASGE, AGAF2,3
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