Conclusions: EUS-rendezvous provided safe and reliable transpapillary bile duct access after failed ERCP cannulation. The selection of the appropriate approach routes, depending on patient

After one hour, ERCP was stopped in favour of a "rendezvous procedure". Subsequent endoscopic ultrasound scan (EUS) revealed a 30mm hypervascular

Summary Video1 Endoscopic ultrasound-guided rendezvous endoscopic retrograde cholangio-pancreatography using a steerable access device. 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 Endoscopic ultrasound (EUS)-assisted biliary access is utilized when conventional endoscopic retrograde cholangiopancreatography (ERCP) fails. We report a 10-year experience utilizing a transduodenal EUS rendezvous via a transpapillary route without dilation of the transduodenal tract, followed by immediate ERCP access. Endoscopic retrograde cholangiopancreatography (ERCP) requires deep biliary cannulation. When deep biliary cannulation is failed, the endoscopic ultrasonography rendezvous technique (EUS-RV) is a Steady progress is being made in endoscopic biliary intervention, especially endoscopic ultrasonography (EUS)‐guided procedures.

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. 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. of EUS-CDS and HGS. EUS-rendezvous technique Summary of the procedure In EUS-RV, the biliary duct is accessed under EUS and ﬂuoroscopic guidance with the creation of a temporary ﬁstula followed by guidewire placement via the biliary duct and ampulla into the duodenum.

EUS-guided biliary rendezvous involves intra or extrahepatic bile duct puncture and subsequent antegrade transpapillary guidewire insertion into the duodenal

There are two major EUS-guided MPD interventions, namely, rendezvous technique 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.

Rendezvous should only be attempted after unsuccessful ERCP by an experienced endoscopist with documented high cannulation rates and skill with advanced cannulation techniques. EUS-rendezvous is one of the most technically complex endoscopic procedures and should only be offered by physicians with extensive experience in interventional EUS …

Marc Giovannini you can join also by going to Jan 25, 2015 Endoscopic Ultrasound (EUS) has advanced rapidly in recent years, and has ERCP Failures in Pancreatobiliary Tumours • Failed ERCP – ERCP Transpapillary Rendezvous Approach • Can only be done if papilla malignant distal biliary stricture underwent EUS-GBD after ERCP failed. EUS- GBD was guided rendezvous stenting; PTBD, percutaneous transhepatic biliary. Nov 9, 2018 EUS-BD serves as an alternative for enteroscopy-assisted ERCP, For patients with SAA, generally the rendezvous method is of limited utility endoscopic ultrasound, rendezvous procedure, biliar drainage. Full Text. Introduction. Endoscopic retrograde cholangio pancreatography (ERCP) is the In all, ERCP alone was unable to achieve treatment success.

Rendezvous should only be attempted after unsuccessful ERCP by an experienced endoscopist with documented high cannulation rates and skill with advanced cannulation techniques. 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.
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Endoscopic retrograde cholangiography (ERCP) is currently standard treatment for biliary drainage. Endoscopic ultrasound guided rendezvous (EUS-RV) is a After one hour, ERCP was stopped in favour of a "rendezvous procedure". Subsequent endoscopic ultrasound scan (EUS) revealed a 30mm hypervascular En- eller två-seans rendezvous ERCP för behandling av gallgångstenar under Ultraljudsledd endoskopisk dränering av pseudocysta i pancreas utan EUS ERCP/EUS/trans-gastrisc abscess punktion Vä nefrostomi dysfunktion. perop cholangiografi.

Conclusions: EUS is a feasible technique for allowing rendezvous drainage of obstructed biliary or pancreatic ducts through native papillae or anastomoses after initially unsuccessful ERCP. AB - Background: Only a few cases have been reported of EUS-guided drainage of obstructed pancreatic or bile ducts. 2012-01-01 · EUS-guided cholangiography was successful in 97% of procedures.
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1 We have also shown EUS-RV to be an acceptable alternative to precut papillotomy in patients with difficult bile duct cannulation. 2 One of the advantages of EUS-guided biliary drainage procedure is the possibility Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and postdilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent 43269 Code deleted, see 43275, 43276 Rendezvous techniques, either percutaneous or EUS-guied, were required for endoscopic access in the other 9 patients. Complications included moderate pancreatitis with retroperitoneal air after percutaneous rendezvous access in 1 patient, and fever in 1 patient. 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. RENDEZVOUS ERCP (EUS‐RV) •The overall reported success rates was 82 % •Complication rate=10 % •Approach for EUS‐RV the left intrahepatic duct (LIHD) can be punctured from the stomach The extrahepatic approach can be done with scope position in D1 or D2. 2009-02-10 injection modiﬁcation from the standard EUS rendezvous technique. Scan the quick response (QR) code to the left with your mobile device to watch this article’s papillectomy was performed at a subsequent ERCP session.

EUS rendezvous or direct intervention involves: (1) using endoscopic-ultrasound technology to access the bile duct with a small needle and manipulate a wire across the biliary orifice and into the duodenum to be then retrieved endoscopically for ERCP (rendezvous ERCP), or (2) using endoscopic-ultrasound technology to directly puncture and perform intended biliary therapy

Med ERCP kan läkaren undersöka och behandla gallvägarna och bukspottkörteln. ERCP är en form av röntgen och görs med hjälp av en böjlig slang, ett endoskop. Endoskopet leds genom munnen och ner till tarmen. ERCP används bland annat för att undersöka och behandla gallsten.

Subsequent endoscopic ultrasound scan (EUS) revealed a 30mm hypervascular En- eller två-seans rendezvous ERCP för behandling av gallgångstenar under Ultraljudsledd endoskopisk dränering av pseudocysta i pancreas utan EUS ERCP/EUS/trans-gastrisc abscess punktion Vä nefrostomi dysfunktion. perop cholangiografi. cor angio m PCI. ercp. Angio A hepatica ercp med rendezvous. kraftigt i fjol men en allt större andel av dem var syrier, meddelade EU:s organ för gränskontroll, Frontex, på torsdagen i ett uttalande. FS har både ERCP- och EUS-kompetens.