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).

ERCP is een afkorting voor ‘Endoscopisch Retrograde Cholangio- en Pancreaticografie’. Dit betekent een kijkonderzoek van de galwegen en de afvoergang van de alvleesklier. Een ERCP wordt over het algemeen niet meer gebruikt als kijkonderzoek alleen.

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. What is ERCP. ERCP is an abbreviation for a medical procedure called Endoscopic Retrograde Cholangiopancreatography that combines upper gastrointestinal (GI) endoscopy and x-rays to to study the bile ducts, pancreatic duct and gallbladder and to treat problems of the bile and pancreatic ducts. Percutaneous transcystic cholangioscopy-assisted rendezvous ERCP in a hostile abdomen Linda Y. Zhang, MBBS,1 Thomas M. Runge, MD,1,2 Yervant Ichkhanian, MD,1 Vivek Kumbhari, MD, PhD,1 Mouen A. Khashab, MD1 A 74-year-old man with a history of perforated peptic ulcer disease treated with Billroth II partial gastrectomy ERCP in patients with altered anatomy 000 9. Successful cannulation rate 000 10. ERCP in children 000 pharyngeal pouch or stricture.

Ercp rendezvous technik

Unauthorized distribution is strictly Preventative strategies for PPP minimize these events. To efficiently access the biliary tree and minimize inadvertent trauma to the pancreatic duct, we have begun utilizing an Antegrade Wire, Rendezvous Cannulation (AWRC) technique in patients undergoing laparoscopic cholecystectomy (LC) with an indication for ERCP. ERCP is een afkorting voor ‘Endoscopisch Retrograde Cholangio- en Pancreaticografie’. Dit betekent een kijkonderzoek van de galwegen en de afvoergang van de alvleesklier. Een ERCP wordt over het algemeen niet meer gebruikt als kijkonderzoek alleen.

2018-08-22 The acute angulation of Roux-en-Y (R-Y) limb precludes endoscopic access for endoscopic retrograde cholangiopancreatography (ERCP) even using a balloon enteroscopy. 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.

Laparoscopic assisted ERCP (Rendezvous technique)fordifficult cannulation of the papilla (e.g peripapillary diverticulum; Vater papilla opening in the third

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 … 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 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.

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. Lella F, Bagnolo F, Rebuffat C et al (2006) Use of the laparoscopic-endoscopic approach, the socalled “Rendez-vous” technique, in cholecystocholedocholithiasis: a valid method in cases with patient-related risk factors for post-ERCP pancreatitis. Surg Endosc 20:419–423 PubMed CrossRef Google Scholar 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.

A main advantage of PTC over ERCP is the opportunity to drain obstructed bile duct segments externally, even if the obstructing stricture is not passed by the draining catheter, as PTC uses a percutaneous antegrade access route. 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%. 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. 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.
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When a selective intrahepatic bile duct (IHD) cannulation fails, a rendezvous technique may be an alternative. ERCP in patients with altered anatomy 000 9.

7,9 Among the various factors, a dilated PD seems to be essential for a successful EUS rendezvous procedure.
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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%.

die intraoperative Kanülierungs-Technik Rendez-Vous im Gallengang eingesetzt werden – Fredrik Swahn et al. haben nun ermittelt, ob diese Technik einen Vorteil gegenüber anderen 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. The rendezvous technique is essential for the success of procedure. We applied two different LERV techniques, traditional technique and modified technique, in 60 2020-08-10 · Swahn F, Nilsson M, Arnelo U, et al. Rendezvous cannulation technique reduces post-ERCP pancreatitis: a prospective nationwide study of 12,718 ERCP procedures. Am J Gastroenterol. 2013;108:552-9.

CiteSeerX - Document Details (Isaac Councill, Lee Giles, Pradeep Teregowda): The acute angulation of Roux-en-Y (R-Y) limb precludes endoscopic access for endoscopic retrograde cholangiopancreatography (ERCP) even using a balloon enteroscopy. Here, we describe a case of successful single balloon enteroscopy (SBE)-assisted ERCP using a rendezvous technique in a patient with sharply angulated R …

The use of double-balloon endoscopy (DBE) for ERCP in patients with surgically altered anatomy has been ercp with rendez-vous technique (billroyh ii gastrectomy) - caso clÍnico do hospital alemÃo oswaldo cruz apresentado na sbad 2012. 2013-05-01 · A Rendezvous procedure is when PTC is used to access the biliary tree in an anterograde fashion facilitating successful completion of a challenging ERCP. We report 3 patients who had complex bile leaks after segmental liver resection and underwent a combined Rendezvous procedure to establish biliary continuity to treat the leak. 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 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). 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.

Although a significant reduction About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators 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 (Fig. 1).