1 Feb 2018 EUS-guided rendezvous for difficult biliary cannulation using a EUS-guided biliary drainage after failed ERCP: a novel algorithm
introduced the technique of EUS-guided rendez-vous (EUS-RV) into the field for biliary drainage via conventional ERCP. The advantage of the retrograde
In 2001, EUS-guided bili-ary drainage was reported for the first time (10). EUS-guided rendezvous technique (EUS-RV) were first reported in 2004 by Mallery (11). Recently, EUS-RV has been re-ported as an effective salvage technique after failed ERCP. 2005-02-01 · 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 an inability to advance a guidewire into the common hepatic duct. EUS-guided biliary drainage (EUS-BD) is one of the therapeutic procedures that has been developed using a curved linear-array echoendoscope.
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. 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.
There are two major EUS-guided MPD interventions, namely, rendezvous technique In conclusion, we demonstrate that percutaneous transcystic cholangioscopy-assisted rendezvous ERCP across a mature cholecystostomy tract can allow for full-spectrum ERCP in cases in which options for internal biliary drainage are otherwise limited (Video 1, available online at www.giejournal.org).
Endoscopic retrograde cholangiopancreatography (ERCP) and percutaneous transhepatic Keywords: Endoscopic ultrasound-guided biliary drainage Endoscopic 1) and cholangiocarcinoma needed further management with rendezvous
Gastrointest Endosc 2012;75:56-64. Dhir V, Bhandari S, Bapat M, et al.
11 Apr 2018 Laparoscopic-endoscopic rendezvous or preoperative endoscopic sphincterotomy before removing the gallbladder for gall stones or bile duct
2017-06-21 The EUS-guided rendezvous technique (EUS-RV) is a salvage method for failed selective biliary cannulation. The overall success rate of EUS-RV in 247 cases from seven published articles was 74 % Albert JG, Finkelmeier F, Friedrich-Rust M, Kronenberger B, Trojan J, Zeuzem S, Sarrazin C. Identifying indications for percutaneous (PTC) vs. endoscopic ultrasound (EUS)—guided “rendezvous” procedure in biliary obstruction and incomplete endoscopic retrograde cholangiography (ERC). Z Gastroenterol. 2014;52(10):1157–63. CrossRef Google 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 and celiac plexus neurolysis (9).
Doctors insert a thin, lighted tube (endoscope) through the mouth to view the esophagus, stomach and small bowel.
Danx
EUS and ERCP. Endoscopic ultrasound. Endoscopic ultrasound (EUS) is similar to a standard upper endoscopy procedure.
presented by Prof. Vinay Dhir
2017-01-01 · EUS-guided drainage of the pancreatic duct is a minimally invasive alternative to surgery for failed conventional ERP. We present an international, multicenter study on the safety and efficacy of EUS-guided pancreatic drainage (EUS-PD) for patients who fail conventional endoscopic therapy. Endoscopic ultrasound (EUS) has emerged as an attractive tool for pancreaticobiliary ductal access and drainage in cases of unsuccessful cannulation during endoscopic retrograde cholangiopancreatography (ERCP).1,2 This approach has recently gained popularity because of a reasonably high technical success rate and favorable safety profile in expert hands.3,4 The EUS-guided rendezvous approach
There are two major EUS-guided MPD interventions, namely, rendezvous technique and antegrade technique (pancreatico- gastrostomy).
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Download scientific diagram | EUS-guided rendezvous ERCP for pancreatic stone removal. (A) Transgastric antegrade pancreatography via EUS-guided
EUS‐guided PD intervention is divided into two types, the drainage and the rendezvous techniques (Table 2). In the drainage technique, pancreaticoenterostomy is carried out by stent placement between the PD and the gastrointestinal (GI tract) (stomach, duodenum, or jejunum). Abstract.
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Background and Aim. A successful endoscopic ultrasound guided rendezvous (EUS-RV) biliary drainage is dependent on accurate puncture of the bile duct and precise guide wire manipulation across the ampulla of Vater. We aim to study the feasibility of using a flexible 19-gauge fine aspiration needle in the performance of EUS-RV biliary drainage.
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.
"In situations where ERCP cannot be performed due to blockage or narrowing of the duodenum or if the opening of the bile duct, the ampulla, cannot be accessed, then the rendezvous procedure can be useful. This is also when knowing how to perform both EUS and ERCP can be extremely advantageous.
This open-ended approach to EUS-guided biliary drainage (i.e. inclusive of both rendezvous and EUS-guided choledocho- The rendezvous procedure, being a hybrid EUS‐ERCP procedure, with the role of EUS being limited to providing access, was classified separately from EUS‐BD. The latter was further classified into transluminal and antegrade procedures, depending upon whether the drainage was done above the obstruction or through the obstruction. 16 May 2019 Endoscopic ultrasonography-guided rendez-vous transpapillary ERCP-guided biliary drainage is performed by direct cannulation of the The route of access is anterograde, in contrast to the retrograde approach of ERCP. We have coined the term EUS-guided anterograde cholangiopancreatography Endoscopic ultrasound-guided rendezvous (EUS-RV) has recently been more than 400 ERCP procedures yearly and has performed over 8000 ERCP 14 Mar 2019 Although endoscopic retrograde cholangiopancreatography (ERCP) is the The former includes EUS-guided rendezvous (EUS-RV) and Download scientific diagram | EUS-guided rendezvous ERCP for pancreatic stone removal.
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%.