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).

Endoscopic retrograde cholangiopancreatography (ERCP) requires deep biliary cannulation. When deep biliary cannulation is failed, the endoscopic

The indications for endoscopic retrograde cholangiopancreatography (ERCP) were malignant biliary obstruction in 24 patients and benign biliary disease in 15. EUS guided biliary access and drainage EUS-guided drainage should not be used to compensate for a lack of ERCP skills EUS-ERCP Rendez-vous 1 Feb 2018 EUS-guided rendezvous for difficult biliary cannulation using a EUS-guided biliary drainage after failed ERCP: a novel algorithm 9 Nov 2009 Since EUS-guided ERCP is a technically challenging procedure that bears EUS-guided drainage of obstructed biliary ducts via a rendezvous 9 Nov 2009 Diagnostic endoscopic retrograde cholangiopancreatography. EUS-guided rendezvous drainage of obstructed biliary and pancreatic ducts: 6 Mar 2014 cholangiography. (ERCP) is widely used as a first-line therapy for biliary Table 3 Published data on EUS-guided rendezvous technique. 25 Jan 2015 Endoscopic Ultrasound (EUS) has advanced rapidly in recent years, and has evolved EUS Guided Interventions for Pancreatobiliary Tumours Dr Jarrod Lee ERCP Failures in Pancreatobiliary Tumours • Failed ERCP – ERCP . 23 Mar 2017 pancreatic duct, pancreatic duct stent, pancreatography, papilla, papillotomy, peritonitis, Rendezvous ERCP, sheath, sphincterotomy, stent, 23 Sep 2020 Endoscopic ultrasound (EUS)–guided transgastric endoscopic retrograde cholangiopancreatography (ERCP), or EDGE, is most commonly 11 Apr 2018 Laparoscopic-endoscopic rendezvous or preoperative endoscopic sphincterotomy before removing the gallbladder for gall stones or bile duct EUS directed transgastric ERCP in patient with gastric bypass.

Surgeon Endoscopic ultrasound-guided choledochoduo-. En- eller två-seans rendezvous ERCP för behandling av gallgångstenar under Endoscopic Retrograde Cholangiopancreatography (ERCP) procedures in the county Live 6-7, Biomatrix, guided tissue regeneration, esophageal replacement Ultraljudsledd endoskopisk dränering av pseudocysta i pancreas utan EUS och ERCP planeras kan EUS användas för. att för att undvika ultrasound-guided interventions. Curr Rendez-vous-teknik innebär att man på.

Stent placement was unsuccessful in one patient, because of the inability to advance a guidewire into the common hepatic duct. The endoscopic ultrasound (EUS)-guided rendezvous technique was reported to be a useful salvage method for patients with failed cannulation.

Abstract. Endoscopic retrograde cholangiopancreatography (ERCP) requires deep biliary cannulation. When deep biliary cannulation is failed, the endoscopic ultrasonography rendezvous technique (EUS‐RV) is a useful salvage method. From the previous 15 articles that included 382 EUS‐RV cases, the overall success rate of EUS‐RV is 81 % with a complication rate of 10 %.

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.

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 retrograde cholangio pancreatography (ERCP Early ERCP Difficult cannulation: what should I do before EUS guided ERCP Indications and intraoperative papillotomy with "rendezvous." | Download Precut 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 including more standard techniques such as pseudocyst drainage.

Attempts at biliary access during ERCP were unsuccessful because of nonvisualized intradiverticular papilla and duodenal deformity . Hence, EUS-guided rendezvous (EUS-RV) was considered. 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 Background and study aims The aim of this study was to assess the efficacy and safety of endoscopic ultrasound-guided rendezvous (EUS-RV) for benign biliary or pancreatic disorders with a 22-gauge needle and a 0.018-inch guidewire. 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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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).

This report presents 7 years' cumulative experience of EUS-guided biliary drainage for obstructive jaundice in patients with failed ERCP. 2016-09-14 Shah JN, Marson F, Weilert F, et al. Single-operator, single-session EUS-guided anterograde cholangiopancreatography in failed ERCP or inaccessible papilla. Gastrointest Endosc 2012;75:56-64.
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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 . Hence, EUS-guided rendezvous (EUS …

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.

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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

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. 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.

Failed ERCP: EUS Rendezvous (Speaker: Michael Levy) Biliary Access Techniques for ERCP: From Basic to Advanced EUS-Guided Biliary Drainage:

Endoscopic retrograde cholangiopancreatography with rendezvous Papillotomy. Endoscopic retrograde cholangio pancreatography (ERCP Early ERCP Difficult cannulation: what should I do before EUS guided ERCP Indications and intraoperative papillotomy with "rendezvous." | Download Precut 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 including more standard techniques such as pseudocyst drainage. 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.

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.