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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. We report a 10-year experience utilizing a transduodenal EUS rendezvous via a transpapillary route without dilation of the transduodenal tract, followed by immediate ERCP access. Endoscopic retrograde cholangiopancreatography (ERCP) requires deep biliary cannulation. When deep biliary cannulation is failed, the endoscopic ultrasonography rendezvous technique (EUS-RV) is a Steady progress is being made in endoscopic biliary intervention, especially endoscopic ultrasonography (EUS)‐guided procedures. The EUS‐guided rendezvous technique (EUS‐RV) is a salvage method for failed selective biliary cannulation. abled various endoscopic ultrasound-related diagnostic and therapeutic techniques to be performed, such as fine-needle aspiration (FNA) (7), pancreatic pseudocyst drainage (8), and celiac plexus neurolysis (9).

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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 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 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 2021-03-19 Background: The endoscopic ultrasound-guided rendezvous techniques (EUS-rendezvous) provide reliable biliary access after failed endoscopic retrograde cholangiopancreatography (ERCP) cannulation.

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Availability: On-Demand Cost: Member EUS-guided rendezvous drainage is a novel alternative technique, but there are no data comparing this approach with precut papillotomy. Objective: To evaluate the safety and efficacy of EUS-guided rendezvous drainage of the bile duct and compare its outcome with that of precut papillotomy. Design: Retrospective study. 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.

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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). 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 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 biliary rendezvous was successful in 14 of 15 patients (93.3%).

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. Ett alternativ till PTC för dränage av gallvägarna som börjat etablera sig allt mer är EUS-ledd punktion och Endoskopiskt ultraljud (EUS) används sällan i det akuta skedet men kan vara ERCP bör inte användas i diagnostiskt syfte utan endast terapeutiskt (se nedan).
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kraftigt i fjol men en allt större andel av dem var syrier, meddelade EU:s organ för gränskontroll, Frontex, på torsdagen i ett uttalande. FS har både ERCP- och EUS-kompetens. Endoscopic retrograde cholangiopancreatography with rendezvous cannulation reduces pancreatic injury verksamhetsområde – en anpassning till EU:s dataskyddsförordning (SOU 2017: M, Rendezvous cannulation technique reduces post-ERCP pancreatitis : a Enochsson, Lars och Lohr, M, Rendezvous cannulation technique reduces post-ERCP pancreatitis : a prospective nationwide Expert : Larkeus, Jonathan, fr.

The selection of the appropriate approach routes, depending on patient What is the difference between ERCP and EUS?; Endoscopic ultrasound (EUS) and Endoscopic Retrograde Cholangiopancreatography (ERCP) are both procedures that are used to examine the gastrointestinal (GI) tract. They are both used to examine organs in the GI tract such as the liver, gall bladder, and pancreas.
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ERC-PTC rendezvous techniques are used as a salvage technique after failed ERC or anticipating a complex intervention that might not be resolved by ERC alone.