Minimally invasive endoscopic ultrasound-guided pancreatic duct rendezvous with a 22-gauge needle and a 0.018-inch guidewire.

Mukai and colleagues describe endoscopic ultrasound-guided rendezvous using a 22-gauge needle and stiff 0.018-inch guidewire, enabling pancreatic duct stenting without guidewire exchange or tract dilation. This streamlined approach enhances flexibility, reduces invasiveness and risk, and lowers cost, supporting its potential as a first-line method in challenging transpapillary cases.