Abstracts Kirurgveckan 2016
Abstracts Kirurgveckan 2016
2017-06-21 The EUS-guided rendezvous technique (EUS-RV) is a salvage method for failed selective biliary cannulation. The overall success rate of EUS-RV in 247 cases from seven published articles was 74 % Albert JG, Finkelmeier F, Friedrich-Rust M, Kronenberger B, Trojan J, Zeuzem S, Sarrazin C. Identifying indications for percutaneous (PTC) vs. endoscopic ultrasound (EUS)—guided “rendezvous” procedure in biliary obstruction and incomplete endoscopic retrograde cholangiography (ERC). Z Gastroenterol.
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In 2001, EUS-guided bili-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. 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.
Video1 Endoscopic ultrasound-guided rendezvous endoscopic retrograde cholangio-pancreatography using a steerable access device.
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We aim to study the feasibility of using a flexible 19-gauge fine aspiration needle in the performance of EUS-RV biliary drainage. 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. Stent placement was unsuccessful in one patient, because of the inability to advance a guidewire into the common hepatic duct.
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EUS and ERCP. Endoscopic ultrasound. 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.
"In situations where ERCP cannot be performed due to blockage or narrowing of the duodenum or if the opening of the bile duct, the ampulla, cannot be accessed, then the rendezvous procedure can be useful. This is also when knowing how to perform both EUS and ERCP can be extremely advantageous. the intended drainage technique, EUS-guided choledochoduodenostomy can be used as a second line approach to salvage the significant proportion of failed rendezvous cases [14, 15, 16]. This open-ended approach to EUS-guided biliary drainage (i.e. inclusive of both rendezvous and EUS-guided choledocho-
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. 16 May 2019 Endoscopic ultrasonography-guided rendez-vous transpapillary ERCP-guided biliary drainage is performed by direct cannulation of the
The route of access is anterograde, in contrast to the retrograde approach of ERCP.
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EUS (UCT-180; Olympus Ltd, Tokyo, Japan) revealed a dilated CBD with multiple calculi without intrahepatic biliary radicle dilation .
We developed a novel "hitch-and-ride" catheter for biliary cannulation to reduce the risk of guidewire loss during EUS-RV. In 2004, EUS-guided biliary access for rendezvous ERCP was introduced as an additional option for patients who fail standard ERCP cannulation and drainage. 2, 3 Recent articles cite procedural success rates of 58 to 80%.
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EUS-guided 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-guided transhepatic cholangiography was performed in 6 patients, with successful rendezvous ERCP and stent placement in 4, and transduodenal stent placement in another patient. Background and study aim Endoscopic ultrasound-guided rendezvous (EUS-RV) is increasingly reported as a treatment option after failed endoscopic retrograde cholangiopancreatography.
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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 Endoscopic ultrasonography guided rendezvous technique (EUS‐RV) for thefailed biliary cannulation (transgastric route). a.) Absence of blood vessels in the puncture route is confirmed using color Doppler imaging, b.) puncture the intrahepatic bile duct (B2) using 19 G needle andcholangiography was obtained, c.) insertion of hydrophilic guide wire into the duodenum via the stricture Endoscopic ultrasound-guided rendezvous (EUS-RV) is one of the rescue techniques for failed biliary access in therapeutic ERCP [2] [3][4][5][6][7][8][9][10][11][12]. Several approach routes in EUS The EUS-guided rendezvous technique (EUS-RV) is a salvage method for failed selective biliary cannulation.
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Surgeon Endoscopic ultrasound-guided choledochoduo-. En- eller två-seans rendezvous ERCP för behandling av gallgångstenar under Endoscopic Retrograde Cholangiopancreatography (ERCP) procedures in the county Live 6-7, Biomatrix, guided tissue regeneration, esophageal replacement Ultraljudsledd endoskopisk dränering av pseudocysta i pancreas utan EUS och ERCP planeras kan EUS användas för. att för att undvika ultrasound-guided interventions. Curr Rendez-vous-teknik innebär att man på.
2012-01-01 · Overall, EUS-guided rendezvous ERCP and direct EUS therapy were successful in 75% and 86%, respectively. All patients with technically successful biliary EACP procedures also had clinical success with resolution of jaundice, stone extraction, or successful treatment of benign strictures or bile leaks. For EUS-RV, a 22-gauge needle and a 0.018-inch guidewire were used. Inclusion criteria were unsuccessful biliary or pancreatic cannulation for therapeutic endoscopic retrograde cholangiopancreatography (ERCP) with benign biliary or pancreatic obstruction. EUS-guided rendezvous technique In the EUS-guided rendezvous technique (EUS-RV) (Fig.