A 10-year study of rendezvous intraoperative endoscopic
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Endoscopic management with endoscopic retrograde cholangiopancreatography (ERCP) has been found to be successful; however, if selective cannulation of the PD is unsuccessful, an endoscopic ultrasound-guided rendezvous procedure can help in bridging PD leaks, provided the duct is dilated. 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. The serum total bilirubin 4 days later had decreased by 44.75%, and direct bilirubin had decreased by 45.61%. A rendezvous procedure refers to the combination of endoscopic, percutaneous and/or surgical approaches to achieve a goal through 2 points of the body that cannot be achieved via one. This method is often used for patients with hepatobiliary dysfunction, when ERCP or PTBD alone are not sufficient for achieving desired outcomes. 1 Endoscopic retrograde cholangiopancreatography is a minimally invasive procedure used for the evaluation and management of biliary injuries.
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. Method. At DBE-assisted ERCP has already gained ac-ceptance for its less invasive technique and high-quality performance [2,3], and its applications in rendezvous techniques havebeen reported [4,5]. Adding tothese, the rendezvous technique in combination with SDVS reported here will expand the possibilities of endoscopic approaches for guided rendezvous technique (EUS-RV) were first reported in 2004 by Mallery (11). Recently, EUS-RV has been re-ported as an effective salvage technique after failed ERCP. 1Department of Gastroenterology, Aichi Cancer Center Hospital, Japan and 2Department of Endoscopy, Aichi Cancer Center Hospital, Japan Laparoendoscopic rendezvous (LERV) endoscopic retrograde cholangiopancreatography (ERCP) and laparoscopic cholecystectomy (LC+ERCP/LERV) are considered an optimal approach for concomitant gallstones and common bile duct stones.
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ercp with rendez-vous technique (billroyh ii gastrectomy) - caso clÍnico do hospital alemÃo oswaldo cruz apresentado na sbad 2012. 2019-01-01 2012-11-01 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 technique. In conclusion, we demonstrate that percutaneous trans-cystic 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).
A 10-year study of rendezvous intraoperative endoscopic
Endoscopic management with endoscopic retrograde cholangiopancreatography (ERCP) has been found to be successful; however, if selective cannulation of the PD is unsuccessful, an endoscopic ultrasound-guided rendezvous procedure can help in bridging PD leaks, provided the duct is dilated. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators The Rendezvous technique combines an endoscopy with a percutaneous transhepatic cholangiography to facilitate cannulation of the bile duct when previous attempts have failed[1,4]. We describe a modified Rendezvous technique for an ERCP in patients operated on for CBDSs having a T-tube with retained CBDSs. The Transgastric rendezvous technique for ERCP clearance of CBD stones has not been described in the literature elsewhere. With a growing part of the western population undergoing GBY the number of patients with gallstones in CBD will increase.
Both the two-step approach, including ERCP and
Rendezvous should only be attempted after unsuccessful ERCP by an experienced endoscopist with documented high cannulation rates and skill with advanced cannulation techniques. EUS-rendezvous is one of the most technically complex endoscopic procedures and should only be offered by physicians with extensive experience in interventional EUS including more standard techniques such as pseudocyst drainage.
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An ERCP uses x-ray films and is performed in an x-ray room. The patient is sedated. The endoscope is then gently inserted into the upper N2 - Background and Aim: The rendezvous postoperative endoscopic retrograde cholangiopancreatography (ERCP) technique has been introduced as a Other factors associated with increased risk of PEP were young age, prolonged procedure time, and elective ERCP. CONCLUSIONS: Rendezvous bile duct Outcomes were procedure-related complications, especially post-ERCP In 264 of the patients, the rendezvous cannulation technique was successful (86 PDF | Common bile duct stones (CBDS) as well as ERCP treatment may cause Rendezvous Cannulation Technique Reduces Post-ERCP Pancreatitis: A I den senaste Gallriks-rapporten från 2018 visas att sedan frekvensen peroperativ rendez-vous-ERCP ökat i landet har det totala antalet per- och Peroperativ så kallad rendez-vous-ERCP över en ledare är en metod som börjat användas systematiskt vid enstaka sjukhus. Den teoretiska av ERCP med rendezvous-teknik.
With a growing part of the western population undergoing GBY the number of patients with gallstones in CBD will increase. The Transgastric Rendezvous approach should be considered in these
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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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. OBJECTIVE Description of a simple technique for cannulation at rendezvous that overcomes these problems. DESIGN Transgastric ERCP with Rendezvous Technique by Mikkel Jessen in Gastroenterology Medicine & Research Two patients with gastric bypass Roux-en-Y (GBY) presented… ERCP rendezvous technique.
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A 10-year study of rendezvous intraoperative endoscopic
Pinho R, Proenc¸a L, Alberto L, Carvalho J, Pinto-Pais T, Fer-nandes C, et al. Biliary self-expandable metallic stent using single balloon enteroscopy assisted ERCP --- overcoming limi-tations of current accessories. Rev Esp Enferm Dig. 2013;105: 561---4.