2012-01-01

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

What is Endoscopic Ultrasound? Endoscopic ultrasound (EUS) is a minimally invasive procedure used to assess and examine the gastrointestinal or digestive tract. 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 is the 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 EUS-rendezvous provided safe and reliable transpapillary bile duct access after failed ERCP cannulation.

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. Scan the quick response (QR) code to the left with your mobile device to watch this article’s papillectomy was performed at a subsequent ERCP session. Take Home Message EUS-guided ductal injection of methylene blue may allow Percutaneous vs. EUS-drainage ; 50 Biliary Drainage Trans-luminal Rendezvous 51 EUS-Rendezvous vs.

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.

Failed cannulation while performing ERCP during pregnancy is a technically Endoscopic ultrasound (EUS) guided rendezvous technique has now emerged

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.

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

Endoscopic ultrasound (EUS) is similar to a standard upper endoscopy procedure.

Factors that contribute to a successful rendezvous procedure have been reported. 7,9 Among the various factors, a dilated PD seems to be essential for a successful EUS rendezvous procedure. Presented by Maurice E Arregui at the Video Face-Off Panel: Common Bile Duct Exploration - More than One Way to Skin a Cat held during the 2017 SAGES Annual The first EUS‐RV report was by Mallery et al. 8 in 2004; EUS‐guided rendezvous drainage of the obstructed biliary and pancreatic ducts was performed in patients with ERCP failure as well as those with pancreatic drainage. EUS-guided procedures that allow the performance of an otherwise impossible ERCP, either because cannulation of the papilla cannot be achieved or because the papillary area is out of reach, are included in this stage.
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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

The latter was further classified into transluminal and antegrade procedures, depending upon whether the drainage was done above the obstruction or through the obstruction. 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.
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Conclusions: EUS-rendezvous provided safe and reliable transpapillary bile duct access after failed ERCP cannulation. The selection of the appropriate approach routes, depending on patient

Rendezvous should only be attempted after unsuccessful ERCP by an experienced endoscopist with documented high cannulation rates and skill with advanced cannulation techniques. When ERCP fails to achieve selective cannulation, endoscopic ultrasound (EUS)-guided rendezvous procedure may be useful to access the PD for endotherapy. Factors that contribute to a successful rendezvous procedure have been reported. 7,9 Among the various factors, a dilated PD seems to be essential for a successful EUS rendezvous procedure. EUS-RV is an alternate option for CBD stones in failed ERCP. The novel steerable access needle provides the opportunity to manipulate the guidewire in the desired direction without the risk of sheering. Endoscopic retrograde cholangiopancreatography (ERCP) requires deep biliary cannulation.