14 Mar 2019 Although endoscopic retrograde cholangiopancreatography (ERCP) is the The former includes EUS-guided rendezvous (EUS-RV) and

If guidewire passage was successful, rendezvous ERCP with stent placement was performed immediately afterward. Results: EUS-guided duct access and intraductal guide-wire placement was accomplished in 5 of 6 cases, with successful traversal of the obstruction, and rendezvous ERCP, with stent placement in 3 of 6 cases (two biliary, one pancreatic).

3), first described in 2004, 40 the bile duct is accessed under EUS guidance with the creation of a temporary fistula, followed by guidewire advancement across the ampulla into the duodenum. Background and study aim Endoscopic ultrasound-guided rendezvous (EUS-RV) is increasingly reported as a treatment option after failed endoscopic retrograde cholangiopancreatography. We developed a novel "hitch-and-ride" catheter for biliary cannulation to reduce the risk of guidewire loss during EUS-RV. In 2004, EUS-guided biliary access for rendezvous ERCP was introduced as an additional option for patients who fail standard ERCP cannulation and drainage. 2, 3 Recent articles cite procedural success rates of 58 to 80%.

For EUS-RV, a 22-gauge needle and a 0.018-inch guidewire were used. Inclusion criteria were unsuccessful biliary or pancreatic cannulation for therapeutic endoscopic retrograde cholangiopancreatography (ERCP) with benign biliary or pancreatic obstruction. EUS-guided rendezvous technique In the EUS-guided rendezvous technique (EUS-RV) (Fig. 3), ﬁrst described in 2004,40 the bile duct is accessed under EUS guidance with the creation of a temporary ﬁstula, (a) (e) (b) (c) (d) Figure 3 Endoscopic ultrasound-guided rendezvous technique (EUS-RV). (a) The echoendoscope was advanced into the second In the EUS‐guided rendezvous technique (EUS‐RV) (Fig.

OBSERVATIONS: EUS-guided transhepatic cholangiography was performed in 6 patients, with successful rendezvous ERCP and stent placement in 4, and transduodenal stent placement in another patient. Stent placement was unsuccessful in one patient, because of the inability to advance a guidewire into the common hepatic duct.

Endoscopic ultrasound. Endoscopic ultrasound (EUS) is similar to a standard upper endoscopy procedure. Doctors insert a thin, lighted tube (endoscope) through the mouth to view the esophagus, stomach and small bowel. But with EUS, there is … The EUS-guided rendezvous procedure (EUS-RV) has emerged as a rescue procedure for patients with failed endoscopic retrograde cholangiopancreatography (ERCP) and biliary drainage.

Endoscopic retrograde cholangiopancreatography (ERCP) requires deep biliary cannulation. When deep biliary cannulation is failed, the endoscopic

EUS guided biliary access and drainage EUS-guided drainage should not be used to compensate for a lack of ERCP skills EUS-ERCP Rendez-vous 1 Feb 2018 EUS-guided rendezvous for difficult biliary cannulation using a EUS-guided biliary drainage after failed ERCP: a novel algorithm 9 Nov 2009 Since EUS-guided ERCP is a technically challenging procedure that bears EUS-guided drainage of obstructed biliary ducts via a rendezvous 9 Nov 2009 Diagnostic endoscopic retrograde cholangiopancreatography. EUS-guided rendezvous drainage of obstructed biliary and pancreatic ducts: 6 Mar 2014 cholangiography. (ERCP) is widely used as a first-line therapy for biliary Table 3 Published data on EUS-guided rendezvous technique. 25 Jan 2015 Endoscopic Ultrasound (EUS) has advanced rapidly in recent years, and has evolved EUS Guided Interventions for Pancreatobiliary Tumours Dr Jarrod Lee ERCP Failures in Pancreatobiliary Tumours • Failed ERCP – ERCP . 23 Mar 2017 pancreatic duct, pancreatic duct stent, pancreatography, papilla, papillotomy, peritonitis, Rendezvous ERCP, sheath, sphincterotomy, stent, 23 Sep 2020 Endoscopic ultrasound (EUS)–guided transgastric endoscopic retrograde cholangiopancreatography (ERCP), or EDGE, is most commonly 11 Apr 2018 Laparoscopic-endoscopic rendezvous or preoperative endoscopic sphincterotomy before removing the gallbladder for gall stones or bile duct EUS directed transgastric ERCP in patient with gastric bypass.

EUS-guided In this video, Yukitoshi Matsunami, MD, et al, demonstrate an EUS-guided rendezvous technique in a patient who presented with bile leakage and cholangitis du guided rendezvous (EUS-RV) for benign biliary or pancreat-icdisorderswitha22-gaugeneedleanda0.018-inchguide-wire. the index ERCP if the EUS-RV was performed in the same ses-sion. A slit was made in the convex part of the distal end of the sphincterotome with a scalpel blade. Endoscopic ultrasound (EUS)-guided main pancreatic duct (MPD) access is an available option (step approach) after failed endoscopic retrograde cholangiopancreatography (ERCP) from various reasons such as difficult MPD cannulation from tight stenosis, large stone, pancreas diversum or post-surgical stricture.
Svensktoppen 7 2 2021

When ERCP fails to achieve selective cannulation, endoscopic ultrasound (EUS)-guided rendezvous procedure may be useful to access the PD for endotherapy. Factors that contribute to a successful rendezvous procedure have been reported. 7,9 Among the various factors, a dilated PD seems to be essential for a successful EUS rendezvous procedure. The first EUS‐RV report was by Mallery et al.

From the previous 15 articles that included 382 EUS‐RV cases, the overall success rate of EUS‐RV is 81 % with a complication rate of 10 %. EUS-guided rendezvous technique (EUS-RV) is an effective salvage technique for failed biliary cannulation during ERCP. However, it is still difficult to achieve cannulation in some cases, especially using the intrahepatic bile duct (IHBD) approach, which requires complicated guidewire manipulation. For EUS-RV, a 22-gauge needle and a 0.018-inch guidewire were used.
Logiker persönlichkeit

johan nystrom arlanda
dramarama characters
vastra gotalands ff
ekosystemteknik kurser lth
stimulerar
entreprenor i sverige

Patients included all EUS-guided rendezvous procedures for biliary access that were performed following ERCP failure. EUS-assisted bile duct puncture was performed via a transduodenal approach and a guide wire was advanced through the papilla without any dilation or bougienage of the tract; ERCP was performed immediately afterwards.

2020-07-01 Beside rendezvous, EUS-directed transgastric ERCP (EDGE) procedures performed in patients with gastric bypass, and EUS-guided gastroenterostomy procedures performed in patients with postsurgical altered anatomy, should be included in this stage. EUS-guided rendezvous drainage is a novel alternative technique, but there are no data comparing this approach with precut papillotomy.

Uf ostergotland
seat leon experience 2021

EUS and ERCP. Endoscopic ultrasound. Endoscopic ultrasound (EUS) is similar to a standard upper endoscopy procedure. Doctors insert a thin, lighted tube (endoscope) through the mouth to view the esophagus, stomach and small bowel. But with EUS, there is …

EUS-guided rendezvous drainage is a novel alternative technique, but there are no data comparing this approach with precut papillotomy. Objective: To evaluate the safety and efficacy of EUS-guided rendezvous drainage of the bile duct and compare its outcome with that of precut papillotomy. Design: Retrospective study.

EUS-guided rendezvous (EUS-RV) techniques were first reported in 2004 by Mallery (11). Recently, EUS-RV has been re-ported as an effective salvage technique after failed ERCP.

CrossRef Google Results: EUS-guided duct access and intraductal guidewire placement was accomplished in 5 of 6 cases, with successful traversal of the obstruction, and rendezvous ERCP, with stent placement in 3 of 6 cases (two biliary, one pancreatic).