Endoscopic retrograde cholangiopancreatography - DiVA

Klinisk prövning på Störningar i gallblåsan: EUS-Rendezvous

Methods: Patients undergoing EUS-rendezvous for biliary access after failed bile duct cannulation in 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 Endoscopic ultrasonography (EUS)‐guided pancreatic duct (PD) stenting for patients with failed conventional endoscopic retrograde cholangiopancreatography (ERCP) and EUS‐guided rendezvous technique.

Eus rendezvous ercp

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. 2 One of the advantages of EUS-guided biliary drainage procedure is the possibility Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and postdilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent 43269 Code deleted, see 43275, 43276 Rendezvous techniques, either percutaneous or EUS-guied, were required for endoscopic access in the other 9 patients.

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).

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Once the wire was across the papilla and in the duodenum, rendezvous ERCP with biliary drainage was successfully completed in all patients. In a patient with locally advanced pancreatic head adenocarcinoma, wire could not be negotiated across the distal biliary stricture. 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 Undersökning och behandling av gallvägarna – ERCP.

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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 2021-03-19 Background: The endoscopic ultrasound-guided rendezvous techniques (EUS-rendezvous) provide reliable biliary access after failed endoscopic retrograde cholangiopancreatography (ERCP) cannulation. We evaluated the clinical utility of an EUS-rendezvous technique using various approach routes. Methods: Patients undergoing EUS-rendezvous for biliary access after failed bile duct cannulation in EUS-guided rendezvous drainage is a novel alternative technique, but there are no data comparing this approach with precut papillotomy.

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 Undersökning och behandling av gallvägarna – ERCP.
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What is Endoscopic Ultrasound? Endoscopic ultrasound (EUS) is a minimally invasive procedure used to assess and examine the gastrointestinal or digestive tract.

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.
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The Prevention eller två-seans rendezvous ERCP för behandling av gallgångstenar under Ultraljudsledd endoskopisk dränering av pseudocysta i pancreas utan EUS . Rendezvous ERCP for purely diagnostic indications in inappropriate. Rendezvous should only be attempted after unsuccessful ERCP by an experienced endoscopist with documented high cannulation rates and skill with advanced cannulation techniques.

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Doctors insert a thin, lighted tube (endoscope) through the mouth to view the esophagus, stomach and small bowel. But with EUS, there is an ultrasound probe at the tip of the instrument. ObjectiveThe endoscopic ultrasound-guided rendezvous technique (EUS-RV) is a salvage method for failed selective biliary cannulation. Three puncture routes have been reported, with many comparisons be- tween the intra-hepatic and extra-hepatic biliary ducts.

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. We evaluated the clinical utility of an EUS-rendezvous technique using various approach routes.