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

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.

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). 2012-01-01 2004-01-01 Endoscopic ultrasound (EUS)-guided main pancreatic duct (MPD) access is an available option (step approach) after failed endoscopic retrograde cholangiopancreatography (ERCP) from various reasons such as difficult MPD cannulation from tight stenosis, large stone, pancreas diversum or post-surgical stricture. 1,2. There are two major EUS-guided MPD interventions, namely, rendezvous technique EUS and ERCP. Endoscopic ultrasound. Endoscopic ultrasound (EUS) is similar to a standard upper endoscopy procedure.

Eus rendezvous ercp

The simplest technique included in this stage is EUS-guided rendezvous. 2017-06-21 ary drainage was reported for the first time (10). 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. 2016-08-16 Conclusions: EUS-rendezvous provided safe and reliable transpapillary bile duct access after failed ERCP cannulation.

Background and study aim Endoscopic ultrasound-guided rendezvous (EUS-RV) is increasingly reported as a treatment option after failed endoscopic retrograde cholangiopancreatography. We developed a novel "hitch-and-ride" catheter for biliary cannulation to reduce the risk of guidewire loss during EUS-RV.

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). In 2001, EUS-guided bili-ary drainage was reported for the first time (10).

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.

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. 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.

"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. 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. Tumor involvement of a 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. AB - Background: Only a few cases have been reported of EUS-guided drainage of … EUS (Endoscopic Ultrasound): Diagnostic and interventional EUS services and includes evaluating pancreaticobiliary diseases, neoplasms including sub-epithelial tumors, cancer diagnosis and staging, pseudocyst drainage, peri-rectal pelvic abscesses drainage, Fiducials placement for image-guided radiation therapy, rendezvous access for biliary and pancreatic duct access and drainage in complex 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.
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Complications included moderate pancreatitis with retroperitoneal air after percutaneous rendezvous access in 1 patient, and fever in 1 patient. 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 (EUS‐RV) •The overall reported success rates was 82 % •Complication rate=10 % •Approach for EUS‐RV the left intrahepatic duct (LIHD) can be punctured from the stomach The extrahepatic approach can be done with scope position in D1 or D2. 2009-02-10 injection modiﬁcation from the standard EUS rendezvous technique.

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EUS-guided rendezvous technique (EUS-RV) were first reported 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). 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

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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

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. A main advantage of PTC over ERCP … 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.