Abstract. 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. Patients and methods: Between February 2006 and February 2013, 101 patients (malignant = 98, benign = 3) with previous failed ERCP underwent an EUS intra- or

Those with accessible papilla but failed ERCP undergoing rendezvous procedure (PTBD or EUS-guided) were excluded. EUS-BD procedures were performed by a single endoscopist with adequate experience in performing EUS-guided therapeutic interventions. EUS-BD was performed by either the transmural via intrahepatic (hepatico-gastrostomy, EUS-HG) or

An EUS rendezvous to obtain bile duct access for conventional ERCP was first reported in 2004, by Mallery et al. [8]. This technique is used solely to puncture the obstructed bile duct and pass a guide wire antegrade through the native papilla to allow subsequent ERCP. EUS-guided 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). 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. Background and study aim Endoscopic ultrasound-guided rendezvous (EUS-RV) is increasingly reported as a treatment option after failed endoscopic retrograde cholangiopancreatography.

Eus guided rendezvous ercp

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. (A) Transgastric antegrade pancreatography via EUS-guided Endoscopic retrograde cholangiopancreatography (ERCP) requires deep biliary cannulation. When deep biliary cannulation is failed, the endoscopic 27 Mar 2020 Attempts at biliary access during ERCP were unsuccessful because of nonvisualized intradiverticular papilla and duodenal deformity (Fig. 2).

2016-09-14

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. presented by Prof.

Those with accessible papilla but failed ERCP undergoing rendezvous procedure (PTBD or EUS-guided) were excluded. EUS-BD procedures were performed by a single endoscopist with adequate experience in performing EUS-guided therapeutic interventions. EUS-BD was performed by either the transmural via intrahepatic (hepatico-gastrostomy, EUS-HG) or

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. 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 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 via endoscopic ultrasound-guided gallbladder drainage to salvage a dislodged lumen-apposing metal stent during choledochoduodenostomy A patient with metastatic pancreatic adenocarcinoma underwent combined endoscopic ultrasound-guided fine nee-dle aspiration (EUS-FNA) and endoscopic biliary drainage. Tumor involvement of a 2013-03-19 Those with accessible papilla but failed ERCP undergoing rendezvous procedure (PTBD or EUS-guided) were excluded.

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. 8 in 2004; EUS‐guided rendezvous drainage of the obstructed biliary and pancreatic ducts was performed in patients with ERCP failure as well as those with pancreatic drainage. Many reports followed, making the procedure widely recognized. 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 .
Halkan körkort

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. 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). In 2001, EUS-guided bili-ary drainage was reported for the first time (10).
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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).

Comparison of EUS-guided rendezvous and precut papillotomy techniques for biliary access (with videos).

Endoskopiskt ultraljud med finnålsaspiration (EUS-FNA) har att endoskopiskt ultraljud är mer kostnadseffektivt än ERCP och MRCP

Rendezvous ERCP via endoscopic ultrasound-guided gallbladder drainage to salvage a dislodged lumen-apposing metal stent during choledochoduodenostomy A patient with metastatic pancreatic adenocarcinoma underwent combined endoscopic ultrasound-guided fine nee-dle aspiration (EUS-FNA) and endoscopic biliary drainage. Tumor involvement of a 2013-03-19 Those with accessible papilla but failed ERCP undergoing rendezvous procedure (PTBD or EUS-guided) were excluded. EUS-BD procedures were performed by a single endoscopist with adequate experience in performing EUS-guided therapeutic interventions. EUS-BD was performed by either the transmural via intrahepatic (hepatico-gastrostomy, EUS-HG) or the intended drainage technique, EUS-guided choledochoduodenostomy can be used as a second line approach to salvage the significant proportion of failed rendezvous cases [14, 15, 16]. This open-ended approach to EUS-guided biliary drainage (i.e. inclusive of both rendezvous and EUS-guided choledocho- EUS-guided biliary management is useful in case of failure of ERCP with a high rate of technical success and clinical efficacy.

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.