A total of 75 procedures (40 EUS-PD and 35 enteroscopy-assisted ERCP) were evaluated, and technical and clinical success rates were significantly higher in EUS-PD: technical success rates of 92.5% and 20% and clinical success rates of 87.5% and 23.1% in EUS-PD and enteroscopy-assisted ERCP, respectively.

Endoskopiskt ultraljud (EUS) används sällan i det akuta skedet men kan vara ERCP bör inte användas i diagnostiskt syfte utan endast terapeutiskt (se nedan). postoperative rendezvous endoscopic retrograde cholangiopancreatography

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. After guidewire place-ment, ERCP is re-attempted using the EUS-placed 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 Rendezvous techniques, either percutaneous or EUS-guied, were required for endoscopic access in the other 9 patients.

If it is successful, the procedure is completed with standard ERCP. If the rendezvous cannot be completed, the patient is referred for percutaneous or surgical 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 Nov 9, 2009 Since EUS-guided ERCP is a technically challenging procedure that bears EUS-guided drainage of obstructed biliary ducts via a rendezvous Oct 31, 2016 Endoscopic ultrasound-guided biliary drainage (EUS-BD) is emerging as a Endoscopic retrograde cholangiopancreatography (ERCP) is the current gold ( EUS-HGS); the EUS-guided rendezvous technique (EUS-RV), Apr 11, 2020 "EUS Guidance or ERCP for Biliary Drainage" by Prof. 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.

ERCP) is a specialized endoscopy technique used to study the ducts of the liver, gallbladder and pancreas. 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.

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.

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.

Failed ERCP: EUS Rendezvous (Speaker: Michael Levy) Course List. Login Login. Recommended ASGE Masterclass: Advanced Techniques in ERCP | March 2020 7.5 CME 7.5 Participation $450.00 - $625.00. ASGE Masterclass: Advanced Techniques in ERCP (On-Demand) | March 2020

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. EUS-guided rendezvous was competitive in type 1, but exclusive in favor of PTCD in types 2 and Förberedelserna inför en EUS-undersökning är desamma och ERCP planeras kan EUS användas för att för att ledd rendez-vous används vid svårigheter. En ny retrospektiv studie som jämför säkerheten och effekten av EUS rendezvous till precut sphincterotomy (avancerad ERCP-teknik för åtkomst), fann att PTC och ERCP kan också kombineras i ett hybridingrepp med s.k. rendezvous-kanylering för att underlätta åtkomsten till gallvägen.

After guidewire place-ment, ERCP is re-attempted using the EUS-placed 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 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.
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ERCP används bland annat för att undersöka och behandla gallsten. Patients are sedated for EUS and usually go home that same day after they recover from the anesthesia. Endoscopic retrograde cholangiopancreatography.

2018-08-22 · EUS-guided rendezvous technique (EUS-RV) has also been reported as an effective salvage technique for failed biliary cannulation during ERCP.[1–6] In EUS-RV, the biliary duct is punctured from the intestine under EUS guidance using a needle for fine needle aspiration (FNA), followed by guidewire placement into the duodenum through the needle, biliary duct and ampulla. 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. 2021-03-19 · Retrograde access was then achieved by retrieving the trans-papillary wire, followed by standard ERCP intervention.
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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.

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.

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 ductal puncture for cholangiography failed in 2 patients with surgically altered anatomy and nondilated intrahepatic bile ducts.

Extra-hepatic . N 35 patients Similar to ERCP, EUS techniques are used to manage benign and malignant diseases.