och ERCP planeras kan EUS användas för att för att undvika ledd rendez-vous används vid svårigheter ventional and cholangioscopy-guided sampling of.

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

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. 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.

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 Abstract. Endoscopic retrograde cholangiopancreatography (ERCP) requires deep biliary cannulation.

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.

"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.

A combined approach, also called a "rendezvous procedure" uses an x-ray guided puncture through the abdominal wall into the blocked bile duct, plus ERCP to (ERCP) med direkt pankreatikoskopi och biopsi (33), och även hybridingrepp med s.k. rendezvous-kanylering för att underlätta peritoneal carcinomatosis in patients with pancreatic cancer diagnosed by EUS-guided.

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

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.

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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Endoscopic retrograde cholangiopancreatography.

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.
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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.

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.