Apr 11, 2020 "EUS Guidance or ERCP for Biliary Drainage" by Prof. Marc Giovannini you can join also by going to

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

En budgetkonsekvens för The technical complexity of rendezvous, EDGE and gastroenterostomy is high and requires extensive experience in therapeutic EUS and ERCP. A multidisciplinary management of the complications is often required, so in our opinion these techniques should be performed exclusively in tertiary hospitals with interventional radiologists and biliopancreatic surgeons available. 2004-01-01 · Results. 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 (two biliary, one pancreatic).

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Park JK, Woo YS, Noh DH, Yang JI, Bae SY, Yun HS, Lee JK, Lee KT, Lee KH. Our GI endoscopy unit is equipped with the latest technology and spacious state-of-the-art interventional endoscopy rooms. Our interventional endoscopists offer advanced and therapeutic endoscopic procedures for the treatment of pancreatobiliary diseases and other luminal GI disorders. We utilize the latest devices and technology available for the treatment of both benign and malignant A total of 75 procedures (40 EUS-PD and 35 enteroscopy-assisted ERCP) were evaluated, and technical and clinical success rates were significantly higher in EUS-PD: technical success rates of 92.5% and 20% and clinical success rates of 87.5% and 23.1% in EUS-PD and enteroscopy-assisted ERCP, respectively. 2013-09-08 In this study, 7 of 11 patients who failed in EUS-rendezvous technique was performed ERCP again, and 4 patients succeeded. They analyzed that EUS guided cholangiography indicated the direction for re-ERCP cannulation. EUS-RV can be divided into intrahepatic bile duct puncture bile drainage (IHBD) and extrahepatic bile duct drainage (EHBD). Rendezvous should only be attempted after unsuccessful ERCP by an experienced endoscopist with documented high cannulation rates and skill with advanced cannulation techniques.

EUS-guided biliary rendezvous involves intra or extrahepatic bile duct puncture and subsequent antegrade transpapillary guidewire insertion into the duodenal 

If the rendezvous cannot be completed, the patient is referred for percutaneous or surgical  The fourth method is rendezvous access, in which a guidewire is passed through the SV EUS-guided biliary drainage can be a useful alternative to ERCP for  Nov 9, 2009 Since EUS-guided ERCP is a technically challenging procedure that bears EUS-guided drainage of obstructed biliary ducts via a rendezvous  Oct 31, 2016 Endoscopic ultrasound-guided biliary drainage (EUS-BD) is emerging as a Endoscopic retrograde cholangiopancreatography (ERCP) is the current gold ( EUS-HGS); the EUS-guided rendezvous technique (EUS-RV),  Apr 11, 2020 "EUS Guidance or ERCP for Biliary Drainage" by Prof. Marc Giovannini you can join also by going to Jan 25, 2015 Endoscopic Ultrasound (EUS) has advanced rapidly in recent years, and has ERCP Failures in Pancreatobiliary Tumours • Failed ERCP – ERCP Transpapillary Rendezvous Approach • Can only be done if papilla  malignant distal biliary stricture underwent EUS-GBD after ERCP failed.

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

The definition of failed bili-ary cannulation with ERCP was ERCP is the first-line modality for the management of malignant biliary obstruction (MBO). EUS-guided biliary drainage (BD) has been used as an alternative salvage modality for achieving BD in cases with failed ERCP or when ERCP is impracticable due to anatomic constraints imposed by prior foregut surgery or tumor invasion. Percutaneous vs. EUS-drainage ; 50 Biliary Drainage Trans-luminal Rendezvous 51 EUS-Rendezvous vs. Precut Papillotomy Precut Rendezvous p First-time success Overall success Complications 90.3 95.8 6.9 98.3 98.3 3.4 0.38 0.35 0.27 Rendezvous is effective and safe Dhir V GI Endoscopy 2012 52 Trans-luminal route Intra vs. Extra-hepatic .

Failed ERCP: EUS Rendezvous (Speaker: Michael Levy Failed ERCP: EUS Rendezvous (Speaker: Michael Levy) Released: August 2015 Viewing Time: 10 minutes.
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(ERCP) – CPT Codes 43260-43278 The American Society for Gastrointestinal Endoscopy (ASGE) works to ensure that adequate methods are in place for gastroenterology practices to report and obtain fair and reasonable reimbursement BackgroundEUS-guided rendezvous procedure (EUS-RV) can be done by the transhepatic (TH) or the extrahepatic (EH) route. There is no data on the preferred access route when both routes are available EUS-Guided Biliary Drainage Versus ERCP for the Primary Palliation of Malignant Biliary Obstruction: A Multicenter Randomized Clinical Trial. Am J Gastroenterol. 2018;113:987-997.

Recently, encouraging long-term outcomes of a dedicated plastic stent [23] , [24] were reported.
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For standardization of EUS-PD procedures, development of dedicated devices is essential, but most devices currently used during EUS-PD are originally developed for EUS-FNA and ERCP. Recently, encouraging long-term outcomes of a dedicated plastic stent [23] , [24] were reported.

Endoscopic retrograde cholangiopancreatography (ERCP) requires deep biliary cannulation. When deep biliary cannulation is failed, the endoscopic ultrasonography rendezvous technique (EUS-RV) is a Steady progress is being made in endoscopic biliary intervention, especially endoscopic ultrasonography (EUS)‐guided procedures. The EUS‐guided rendezvous technique (EUS‐RV) is a salvage method for failed selective biliary cannulation. 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).

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). EUS-guided rendezvous technique (EUS-RV) were first reported

Complications included moderate pancreatitis with retroperitoneal air after percutaneous rendezvous access in 1 patient, and fever in 1 patient. Among these, rendezvous technique seems to be the safest of all EUS-guided procedure at the expense of a not excellent success rate (from 44% to 80%) and with the limit of the need of a accessible papilla by endoscopy.8 These limitations are overcome by direct transluminal EUS-guided approach as hepaticogastrostomy and choledochoduodenostomy that also ensure a 1-stage procedure. RENDEZVOUS ERCP (EUS‐RV) •The overall reported success rates was 82 % •Complication rate=10 % •Approach for EUS‐RV the left intrahepatic duct (LIHD) can be punctured from the stomach The extrahepatic approach can be done with scope position in D1 or D2. 2009-02-10 injection modification from the standard EUS rendezvous technique. Scan the quick response (QR) code to the left with your mobile device to watch this article’s papillectomy was performed at a subsequent ERCP session. Take Home Message EUS-guided ductal injection of methylene blue may allow Percutaneous vs. EUS-drainage ; 50 Biliary Drainage Trans-luminal Rendezvous 51 EUS-Rendezvous vs.

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 EUS-guided biliary rendezvous was successful in 14 of 15 patients (93.3%). 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. Med ERCP kan läkaren undersöka och behandla gallvägarna och bukspottkörteln.