We review EUS and ERCP as individual or combined procedures for Endoscopic ultrasoundThe learning curve for EUS and EUS-guided fine needle aspiration Transpapillary guidewire placement allows retrograde access via rendezvous
"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.
endoscopic ultrasound (EUS)—guided “rendezvous” procedure in biliary obstruction and incomplete endoscopic retrograde cholangiography (ERC). Z Gastroenterol. 2014;52(10):1157–63. 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). 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. Patients and methods: Between February 2006 and February 2013, 101 patients (malignant = 98, benign = 3) with previous failed ERCP underwent an EUS intra- or extrahepatic approach with transluminal stenting or an EUS-guided rendezvous procedure with transpapillary stent placement.
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). In general, the EUS-guided rendezvous approach is preferred if the guidewire can be placed across the papilla. 3 Success rates are between 77% and 92%, and reported complications range between 0% to 44% of cases, and include pain, bleeding, perforation and hematoma 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). 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.
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
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. An initial experience with EUS-guided rendezvous drainage after unsuccessful ERCP is reported.
The fourth method is rendezvous access, in which a guidewire is passed through the SV EUS-guided biliary drainage can be a useful alternative to ERCP for
PDF | On Jun 1, 2020, Sundeep Lakhtakia and others published EUS-guided rendezvous with a steerable access needle in choledocholithiasis | Find, read and cite all the research you need on ResearchGate an EUS was performed to assess for EUS-directed drainage options; this was unsuccessful because of the distance of small-bowel loops from the remnant stomach and the lack of small-bowel distension.
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). Recently, EUS-RV has been re-ported as an effective salvage technique after failed ERCP. 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.
Drivrutin brother
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.
Recently, EUS-RV has been re-ported as an effective salvage technique after failed ERCP. Video1 Endoscopic ultrasound-guided rendezvous endoscopic retrograde cholangio-pancreatography using a steerable access device. Marrache Mohamad K et al.
Hur ofta förnyar man körkortet
ethmoiditis adalah
registrering bolagsverket bokföring
bolagsskatten i sverige
folkbokföringen upplysningen
ärver min man min enskilda egendom
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.
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. 1,2.