Endoscopic ultrasonography guided rendezvous technique (EUS‐RV) for thefailed biliary cannulation (transgastric route). a.) Absence of blood vessels in the puncture route is confirmed using color Doppler imaging, b.) puncture the intrahepatic bile duct (B2) using 19 G needle andcholangiography was obtained, c.) insertion of hydrophilic guide wire into the duodenum via the stricture

2012-01-01 · Overall, EUS-guided rendezvous ERCP and direct EUS therapy were successful in 75% and 86%, respectively. All patients with technically successful biliary EACP procedures also had clinical success with resolution of jaundice, stone extraction, or successful treatment of benign strictures or bile leaks.

By . Shawn Mallery, MD, Associate Professor of Medicine, University of Minnesota, Minneapolis, MN, USA. Martin L. Freeman, MD, Professor of Medicine, University of Minnesota, Minneapolis, MN, USA. ERCP is a technically challenging procedure yet has become nearly universally available. EUS (UCT-180; Olympus Ltd, Tokyo, Japan) revealed a dilated CBD with multiple calculi without intrahepatic biliary radicle dilation . Attempts at biliary access during ERCP were unsuccessful because of nonvisualized intradiverticular papilla and duodenal deformity .

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. Failed ERCP: EUS Rendezvous (Speaker: Michael Levy) Course List. Login Login. Recommended Biliary Access Techniques for ERCP: From Basic to Advanced (DV035) Released: November 2010 EUS-Guided Biliary Drainage: Current Techniques (DV069) Released: August 2015 Background and study aim: Endoscopic ultrasound (EUS)-guided biliary access is an alternative to percutaneous access after failed endoscopic retrograde cholangiopancreatography (ERCP). This report presents 7 years' cumulative experience of EUS-guided biliary drainage for obstructive jaundice in patients with failed ERCP.

Shawn Mallery, MD, Associate Professor of Medicine, University of Minnesota, Minneapolis, MN, USA. Martin L. Freeman, MD, Professor of Medicine, University of Minnesota, Minneapolis, MN, USA. ERCP is a technically challenging procedure yet has become nearly universally available.

Among these, rendezvous technique seems to be the safest of all EUS-guided procedure at the expense of a not excellent success rate (from 44% to 80%) and with the limit of the need of a accessible papilla by endoscopy.8 These limitations are overcome by direct transluminal EUS-guided approach as hepaticogastrostomy and choledochoduodenostomy that also ensure a 1-stage procedure.

An EUS rendezvous to obtain bile duct access for conventional ERCP was first reported in 2004, by Mallery et al. [8].

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.

Marrache Mohamad K et al. EUS-guided rendezvous ERCP with steerable access device… Endoscopy 2020; 52: E355–E356 E355 This document was downloaded for personal use only. Unauthorized distribution is strictly and celiac plexus neurolysis (9). In 2001, EUS-guided bili-ary drainage was reported for the first time (10). EUS-guided rendezvous (EUS-RV) techniques were first reported in 2004 by Mallery (11).

In 2001, EUS-guided bili-ary drainage was reported for the first time (10). EUS-guided rendezvous (EUS-RV) techniques were first reported in 2004 by Mallery (11).
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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.

When deep biliary cannulation is failed, the endoscopic Endoscopic retrograde cholangiopancreatography (ERCP) and percutaneous transhepatic Keywords: Endoscopic ultrasound-guided biliary drainage Endoscopic 1) and cholangiocarcinoma needed further management with rendezvous The extrahepatic EUS-BD technique entails needle The objective of the rendezvous approach is to perform The distinction from standard ERCP is that the initial wire introduced the technique of EUS-guided rendez-vous (EUS-RV) into the field for biliary drainage via conventional ERCP.
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FS har både ERCP- och EUS-kompetens. ERCP-guided cholangioscopy using a single-use system: nationwide register-based study of its use in clinical practice. Endoscopic retrograde cholangiopancreatography with rendezvous

Single-operator, single-session EUS-guided anterograde cholangiopancreatography in failed ERCP or inaccessible papilla. Gastrointest Endosc 2012;75:56-64. Dhir V, Bhandari S, Bapat M, et al. Comparison of EUS-guided rendezvous and precut papillotomy techniques for biliary access (with videos).

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). The procedure was clinically effective in all successful cases (two patients with malignant obstructive jaundice, one with relapsing pancreatitis after pancreaticoduodenectomy).

Stent placement was unsuccessful in one patient, because of the inability to advance a guidewire into the common hepatic duct. 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 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 2007-01-01 · EUS-guided rendezvous drainage of obstructed biliary and pancreatic ducts: report of 6 cases Gastrointest Endosc , 59 ( 2004 ) , pp.

From ConsultQD Live Admin on June 29th, 2018. 0 likes 0 231 plays 231. Related Media. TABLE 1Summary of studies evaluating EGBD after failed ERCP. ∗.