Download scientific diagram | EUS-guided rendezvous ERCP for pancreatic stone removal. (A) Transgastric antegrade pancreatography via EUS-guided

23 Mar 2017 pancreatic duct, pancreatic duct stent, pancreatography, papilla, papillotomy, peritonitis, Rendezvous ERCP, sheath, sphincterotomy, stent,

Morbidity rate is high during biliary drainage requiring experienced team. In summary. EUS-guided biliary procedure open a new way to achieve biliary drainage, complementary to percutaneous approach. Keywords: EUS-guided; Rendezvous; EUS-BD; EUS-PD Introduction EUS-guided direct cholangio-pancreatic access (EUS-DCP) may be feasible in patients with an inaccessible papilla [1], however, it poses a challenge due to its technical difficulty and relatively high complication rate [2,3]. EUS-rendezvous may be a more feasible Tips and tricks for successful EUS-guided rendezvous ERCP. By . Shawn Mallery, MD, Associate Professor of Medicine, University of Minnesota, Minneapolis, MN, USA. Martin L. Freeman, MD, Professor of Medicine, University of Minnesota, Minneapolis, MN, USA. ERCP is a technically challenging procedure yet has become nearly universally available.

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4 – 6 These modest success rates may be explained by technical limitations of advancing a wire across the obstruction including acuity of needle angle compared with the duct Primary EUS-guided biliary drainage versus ERCP drainage for the management of malignant biliary obstruction: A systematic review and meta-analysis Gaurav Kakked 1, Habeeb Salameh 2, Antonio R Cheesman 2, Nikhil A Kumta 2, Satish Nagula 2, Christopher J DiMaio 2 1 Department of Medicine, Mount Sinai St. Luke's/West Hospitals, New York, USA 2 Dr. Henry D. Janowitz Division of Gastroenterology 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 "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. Access to the pancreatic duct under EUS guidance was reported as EUS-guided pancreatography after failed ERCP, in 1995 by Harada et al. EUS-guided PD (EUS-PD) was first reported as rendezvous (RV) and transmural drainage (TMD) in 2002. EUS and ERCP. Endoscopic ultrasound. Endoscopic ultrasound (EUS) is similar to a standard upper endoscopy procedure.

We developed a novel "hitch-and-ride" catheter for biliary cannulation to reduce the risk of guidewire loss during EUS-RV. presented by Prof. Vinay Dhir 2017-01-01 · EUS-guided drainage of the pancreatic duct is a minimally invasive alternative to surgery for failed conventional ERP. We present an international, multicenter study on the safety and efficacy of EUS-guided pancreatic drainage (EUS-PD) for patients who fail conventional endoscopic therapy.

2020-07-01

The first EUS‐RV report was by Mallery et al. 8 in 2004; EUS‐guided rendezvous drainage of the obstructed biliary and pancreatic ducts was performed in patients with ERCP failure as well as those with pancreatic drainage.

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-

Background and Aim. A successful endoscopic ultrasound guided rendezvous (EUS-RV) biliary drainage is dependent on accurate puncture of the bile duct and precise guide wire manipulation across the ampulla of Vater. 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. The endoscopic ultrasound (EUS)-guided rendezvous technique was reported to be a useful salvage method for patients with failed cannulation. In such patients, after bile duct puncture under EUS Since its introduction in 2001, endoscopic ultrasound-guided biliary drainage (EUS-BD) has evolved as a reliable alternative in cases where conventional ERCP is unsuccessful.6 Randomised comparative trials and meta-analyses of EUS-BD and PTBD have demonstrated that while clinical and technical success show comparable efficacy, there are lower rates of reintervention and fewer post procedure adverse events (AEs) with EUS-BD.5 7 8 For instance, one randomised trial conducted by highly Endoscopic ultrasonography-guided pancreatic duct access: techniques and literature review of pancreatography, transmural drainage and rendezvous techniques.

-av-eus-oskuldspresumtionsdirektiv-sou-201717(3a54dbe1-debb-48ba-90d2- /internet-administered-guided-selfhelp-versus-individualized-email-therapy-a- /endoscopic-retrograde-cholangiopancreatography-with-rendezvous- FS har både ERCP- och EUS-kompetens. ERCP-guided cholangioscopy using a single-use system: nationwide register-based study of its use in clinical practice.
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EUS-guided PD (EUS-PD) was first reported as rendezvous (RV) and transmural drainage (TMD) in 2002. EUS and ERCP. Endoscopic ultrasound. Endoscopic ultrasound (EUS) is similar to a standard upper endoscopy procedure.

100 - 107 Article Download PDF View Record in Scopus Google Scholar Failed ERCP: EUS Rendezvous (Speaker: Michael Levy) Biliary Access Techniques for ERCP: From Basic to Advanced EUS-Guided Biliary Drainage: and celiac plexus neurolysis (9).
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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

2, 3 Recent articles cite procedural success rates of 58 to 80%. 4 – 6 These modest success rates may be explained by technical limitations of advancing a wire across the obstruction including acuity of needle angle compared with the duct Primary EUS-guided biliary drainage versus ERCP drainage for the management of malignant biliary obstruction: A systematic review and meta-analysis Gaurav Kakked 1, Habeeb Salameh 2, Antonio R Cheesman 2, Nikhil A Kumta 2, Satish Nagula 2, Christopher J DiMaio 2 1 Department of Medicine, Mount Sinai St. Luke's/West Hospitals, New York, USA 2 Dr. Henry D. Janowitz Division of Gastroenterology 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 "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. Access to the pancreatic duct under EUS guidance was reported as EUS-guided pancreatography after failed ERCP, in 1995 by Harada et al.