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).

BACKGROUND: Biliary access at ERCP rendezvous is usually achieved by withdrawing a wire passed antegrade via the accessory channel of the duodenoscope, which is then used for over-the-wire cannulation. The wire is time consuming to maneuver and may be damaged during withdrawal.

sowie die Kombination aus PTC und Endoskopie im Rendezvous-Verfahren sogenannten "Babyscope" im Mother-Baby-Technik (Gallengangsspiegelung 30 aug. 2018 — ERCP kan bland annat medföra pankreatit och används i princip Standardbehandling av koledochusstenar är peroperativ rendezvous ERCP över Critical view of safety technic som innebär att gallblåsan retraheras enligt. Transgastric ERCP with Rendezvous Technique Case-Report Two patients with gastric bypass Roux-en-Y (GBY) presented symptoms of post-prandial upper abdominal pain. Both patients had elevated liver enzyme levels and hyperbilirubinemia.

Ercp rendezvous technik

Although we tried SBE-assisted ERCP (XSIF-Q260Y; Olympus Medical Systems, Tokyo, Japan), an enteroscope could not be advanced to sharply angulated R-Y limb. Three days later, we performed rendezvous technique-assisted SBE using carbon dioxide during the procedure. A modified Rendezvous ERCP technique in duodenal diverticulum Mehmet Odabasi, Mehmet Kamil Yildiz, Haci Hasan Abuoglu, Cengiz Eris, Erkan Ozkan, Emre Gunay, Laparoscopic assisted ERCP (Rendezvous technique)fordifficult cannulation of the papilla (e.g peripapillary diverticulum; Vater papilla opening in the third The one-stage procedure involved in the rendezvous technique of PTBD and ERCP was successful in 23 cases, while the other 13 cases underwent PTBD first and then rendezvous ERCP the next time. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators 2006-04-01 · At follow-up ERCP rendezvous by using Olympus videoduodenoscopes (Olympus Keymed, Southend-on-Sea, UK), an ultratome sphincterotome catheter (Autotome RX44 cannulating sphincterotome; Microvasive Endoscopy, Boston Scientific Corp, Spencer, Ind) was passed, and an attempt was made to cannulate the ampullary orifice alongside the drainage catheter . BACKGROUND: Biliary access at ERCP rendezvous is usually achieved by withdrawing a wire passed antegrade via the accessory channel of the duodenoscope, which is then used for over-the-wire cannulation. The wire is time consuming to maneuver and may be damaged during withdrawal.

Dez. 2015 Mit einer ERCP (endoskopisch retrograde Cholangio-Pankreatikografie) werden die Gallengänge, die Gallenblase und die Gänge der sowie die Kombination aus PTC und Endoskopie im Rendezvous-Verfahren sogenannten "Babyscope" im Mother-Baby-Technik (Gallengangsspiegelung 7 Nov 2013 Endosonography, ERCP, esophageal intubation, European Journal of rendezvous procedure, RUQ abdominal pain, RUQ pain, sedation, (ERC) sowie der Gallen- und Pankreaswege (ERCP) Diagnostische.

1 Mar 2019 Rendezvous Biliary Recanalization of Complete Biliary Obstruction With Direct ERCP (Endoscopic Retrograde Cholangiopancreatography).

Results. There were 1205 and 565 ERCP procedures in the rendezvous intraoperative and the rendezvous postoperative groups, respectively.

5) je ihlou do žlčovodu zavedený vodič s priemerom 0,035 alebo 0,025. Na vytvorenie kanála stómie je možné použiť ERCP kanylu, cystotóm s priemerom 6–8,5 Fr (v prípade EUS-HGS), bužiový dilatátor (Soehendra, Cook Endoscopy, USA), dilatačný balón s priemerom 4–6 mm (Hurricane RX, Boston Scientific, USA).

ERCP in children 000 pharyngeal pouch or stricture. A guidewire can be left in the stomach to guide insertion with the duodenoscope if required. • The duodenoscope coils in the fundus: Ensure the patient is fully in the left lateral decubitus position. Objectives: To introduce a new Rendezvous Technique, which is shorter and faster compared to existing techniques and with a similar rate of success. Materials and Methods: In 14 patients with percutaneous access to the CBD, we performed SHORT using a Loop Tip Wire Guide (LTWG) (Cook Medical, Winston-Salem, NC, USA), which has a closed loop at the tip.

Here, we describe a case of successful single balloon enteroscopy (SBE)-assisted ERCP using a rendezvous technique in a patient with sharply angulated R-Y limb in a 79-year-old woman who had bile duct stones. 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 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 Endoscopic retrograde cholangiopancreatography (ERCP) is the most common method worldwide to treat common bile duct stones (CBDS). 1 There are still controversies regarding the timing of the ERCP procedure with regard to cholecystectomy; 2 however, ERCP carried out before cholecystectomy is the most commonly used approach worldwide.
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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 (PTBD or percutaneous transgallbladder drainage rendezvous technique, Dilation using screw drill, Rendezvous technique combining DBE with a cholangioscope, endoscopic ultrasound-guided rendezvous technique), and treatment (Overtube-assisted technique, Short type balloon enteroscopes) during BEA-ERCP. 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 … 2014-10-01 The ERCP procedures were considered rendezvous intraoperative or rendezvous postoperative, depending on whether the ERCP procedure was carried out during or after completing the cholecystectomy.

A modified Rendezvous ERCP technique in duodenal diverticulum Mehmet Odabasi, Mehmet Kamil Yildiz, Haci Hasan Abuoglu, Cengiz Eris, Erkan Ozkan, Emre Gunay, Laparoscopic assisted ERCP (Rendezvous technique)fordifficult cannulation of the papilla (e.g peripapillary diverticulum; Vater papilla opening in the third The one-stage procedure involved in the rendezvous technique of PTBD and ERCP was successful in 23 cases, while the other 13 cases underwent PTBD first and then rendezvous ERCP the next time. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators 2006-04-01 · At follow-up ERCP rendezvous by using Olympus videoduodenoscopes (Olympus Keymed, Southend-on-Sea, UK), an ultratome sphincterotome catheter (Autotome RX44 cannulating sphincterotome; Microvasive Endoscopy, Boston Scientific Corp, Spencer, Ind) was passed, and an attempt was made to cannulate the ampullary orifice alongside the drainage catheter . BACKGROUND: Biliary access at ERCP rendezvous is usually achieved by withdrawing a wire passed antegrade via the accessory channel of the duodenoscope, which is then used for over-the-wire cannulation. The wire is time consuming to maneuver and may be damaged during withdrawal.
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with conventional ERCP with an incidence ranging from 3-10% for PEP [5]. Comparing conventional ERCP with the Rendezvous technique indicates that the rendezvous technique reduces the risk of PEP [5]. The Transgastric rendezvous technique for ERCP clearance of CBD stones has not been described in the literature elsewhere.

The risk of PEP when using the rendezvous technique compared with those who were cannulated by conventional means was reduced from 3.6 to 2.2% (odds ratio … The one-stage procedure involved in the rendezvous technique of PTBD and ERCP was successful in 23 cases, while the other 13 cases underwent PTBD first and then rendezvous ERCP the next time. 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. 2006-04-01 Objectives: The aim of this study was to investigate if intraoperative rendezvous cannulation reduces the risk of post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis (PEP) because there is no universal consensus on the optimal treatment of common bile duct stones.

ERCP in patients with altered anatomy 000 9. Successful cannulation rate 000 10. ERCP in children 000 pharyngeal pouch or stricture. A guidewire can be left in the stomach to guide insertion with the duodenoscope if required. • The duodenoscope coils in the fundus: Ensure the patient is fully in the left lateral decubitus position.

Method. At 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. Results: The registry included 12,718 ERCP procedures performed on patients without a history of previous ERCP. The risk of PEP when using the rendezvous technique compared with those who were cannulated by conventional means was reduced from 3.6 to 2.2% (odds ratio (OR) 0.5, 95% confidence interval 0.2-0.9, P=0.02). Eines der Hauptrisiken nach Cholezystektomien durch ERCP ist, dass eine ERCP-bedingte Pankreatitis (PEP) auftreten kann. Um dies zu verhindern, kann z.B.

PTC combined with ERCP for rendezvous techniques provides a non-surgical treatment for complex biliary strictures. 1 Endoscopic therapy shares an equal long-term success rate in comparison with primary surgery and hence is the preferred approach for the management of benign biliary stricture. 2 The one‐stage procedure involved in the rendezvous technique of PTBD and ERCP was successful in 23 cases, while the other 13 cases underwent PTBD first and then rendezvous ERCP the next time.