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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. 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. EUS-guided rendezvous technique In the EUS-guided rendezvous technique (EUS-RV) (Fig.

Background and Aim. A successful endoscopic ultrasound guided rendezvous (EUS-RV) biliary drainage is dependent on accurate puncture of the bile duct and precise guide wire manipulation across the ampulla of Vater. We aim to study the feasibility of using a flexible 19-gauge fine aspiration needle in the performance of EUS-RV biliary drainage. 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. The endoscopic ultrasound (EUS)-guided rendezvous technique was reported to be a useful salvage method for patients with failed cannulation. In such patients, after bile duct puncture under EUS Since its introduction in 2001, endoscopic ultrasound-guided biliary drainage (EUS-BD) has evolved as a reliable alternative in cases where conventional ERCP is unsuccessful.6 Randomised comparative trials and meta-analyses of EUS-BD and PTBD have demonstrated that while clinical and technical success show comparable efficacy, there are lower rates of reintervention and fewer post procedure adverse events (AEs) with EUS-BD.5 7 8 For instance, one randomised trial conducted by highly Endoscopic ultrasonography-guided pancreatic duct access: techniques and literature review of pancreatography, transmural drainage and rendezvous techniques.

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 ultrasonography guided rendezvous technique (EUS‐RV) for thefailed biliary cannulation (transgastric route). a.) Absence of blood vessels in the puncture route is confirmed using color Doppler imaging, b.) puncture the intrahepatic bile duct (B2) using 19 G needle andcholangiography was obtained, c.) insertion of hydrophilic guide wire into the duodenum via the stricture Endoscopic ultrasound-guided rendezvous (EUS-RV) is one of the rescue techniques for failed biliary access in therapeutic ERCP [2] [3][4][5][6][7][8][9][10][11][12].

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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. 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. EUS-guided rendezvous technique In the EUS-guided rendezvous technique (EUS-RV) (Fig.

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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. Morbidity rate is high during biliary drainage requiring experienced team. In summary. EUS-guided biliary procedure open a new way to achieve biliary drainage, complementary to percutaneous approach.

Shawn Mallery, MD, Associate Professor of Medicine, University of Minnesota, Minneapolis, MN, USA. Martin L. Freeman, MD, Professor of Medicine, University of Minnesota, Minneapolis, MN, USA. ERCP … 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 … When ERCP fails to achieve selective cannulation, endoscopic ultrasound (EUS)-guided rendezvous procedure may be useful to access the PD for endotherapy.
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Inclusion criteria were unsuccessful biliary or pancreatic cannulation for therapeutic endoscopic retrograde cholangiopancreatography (ERCP) with benign biliary or pancreatic obstruction.

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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.

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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). EUS-guided biliary rendezvous involves intra or extrahepatic bile duct puncture and subsequent antegrade transpapillary guidewire insertion into the duodenal 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 Endoscopic retrograde cholangiopancreatography (ERCP) requires deep biliary cannulation.