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

Förberedelserna inför en EUS-undersökning är desamma och ERCP planeras kan EUS användas för att för att ledd rendez-vous används vid svårigheter.

A multidisciplinary management of the complications is often required, so in our opinion these techniques should be performed exclusively in tertiary hospitals with interventional radiologists and biliopancreatic surgeons available. 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 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. 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).

7,9 Among the various factors, a dilated PD seems to be essential for a successful EUS rendezvous procedure. 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. Therefore, EUS allows ERCP to be performed. 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.

2018-08-22

RESULTS: EUS-guided biliary rendezvous was successful in 14 patients (93.3%). Failure was seen in one patient due to a tight malignant biliary stricture. För att EUS och MRCP skall vara kostnadseffektivare för denna patientgrupp krävs att sannolikheten för att behöva terapeutisk ERCP måste vara lägre än 25 %. Konsekvensanalys Ekonomiska konsekvenser för sjukvården av att införa metoden Investeringskostnad för EUS-utrustning är ca 2 miljoner kronor.

Endoscopic retrograde cholangiopancreatography (ERCP) requires deep biliary EUS-guided rendezvous drainage of the obstructed biliary and pancreatic

Endoscopic ultrasound (EUS) is similar to a standard upper endoscopy procedure. Doctors insert a thin, lighted tube (endoscope) through the mouth to view the esophagus, stomach and small bowel. But with EUS, there is … 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. EUS-guided biliary rendezvous was successful in 14 of 15 patients (93.3%). Once the wire was across the papilla and in the duodenum, rendezvous ERCP with biliary drainage was successfully completed in all patients.

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. 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-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. Therefore, EUS allows ERCP to be performed.
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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.

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.
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2009-02-10

EUS-guided rendezvous drainage is a novel alternative technique, but there are no data comparing this approach with precut papillotomy. 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 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. Endoscopic ultrasound (EUS) is similar to a standard upper endoscopy procedure.

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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.

Design: Retrospective study. 2018-08-22 Endoscopic ultrasonography (EUS)‐guided pancreatic duct (PD) stenting for patients with failed conventional endoscopic retrograde cholangiopancreatography (ERCP) and EUS‐guided rendezvous technique. (A) Fluoroscopic image demonstrates a transgastric pancreatogram. The technical complexity of rendezvous, EDGE and gastroenterostomy is high and requires extensive experience in therapeutic EUS and ERCP. A multidisciplinary management of the complications is often required, so in our opinion these techniques should be performed exclusively in tertiary hospitals with interventional radiologists and biliopancreatic surgeons available. 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 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. The latter was further classified into transluminal and antegrade procedures, depending upon whether the drainage was done above the obstruction or through the obstruction.

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

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.