ERCP - GASTROKURIREN

september 2010 Rosengrenska stiftelsen

Endoscopic retrograde cholangiopancreatography with rendezvous cannulation technique reduces post-ERCP pancreatitis: a prospective nationwide study of  HPB (Oxford). 2013. Aug;15(8):646-52. 9.

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Nach perkutanem Einführen einer 18F Schleuse in das Biliom, konnte mittels einer Fasszange der transpapillär eingeführte Draht gegriffen und perkutan ausgeleitet werden (ERCP-PTCD-Rendezvous vice versa). 30 Mar 2021 Rendezvous Cannulation Technique Reduces Post-ERCP Pancreatitis: A Prospective Nationwide Study of 12,718 ERCP Procedures. 29 Jun 2018 ERCP is a technically challenging procedure yet has become nearly universally available. Successful biliary cannulation and access should be  17 Jan 2019 BackgroundPercutaneous-transhepatic-endoscopic rendezvous Aabakken, L Papillary cannulation and sphincterotomy techniques at ERCP:  22 Oct 2018 Endoscopic retrograde cholangiopancreatography (ERCP) plays a major role in the diagnosis and treatment of biliary tract diseases. However,  Laparoscopic-Assisted ERCP Rendezvous Procedure for Choledocholithiasis in Patient With Esophageal Stricture. 2925. Patel, Anish H. MD 1; Ortizo, Ronald  23 Jun 2017 A second SBE-ERCP was performed 3 months later to complete the procedure, but the papilla could not be reached due to fixed angulations that  Laparoendoscopic rendezvous (LERV) endoscopic retrograde cholangiopancreatography (ERCP) and laparoscopic cholecystectomy (LC+ ERCP/LERV) are  22 Aug 2018 Abstract.

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between ERCP and the rendezvous technique is that, in the latter, the steps of the endoscopic procedure are re- duced and facilitated because the surgeon helps the en- The rendezvous postoperative endoscopic retrograde cholangiopancreatography (ERCP) technique has been introduced as a modification of the single‐session rendezvous intraoperative ERCP procedure in the management of concurrent common bile duct stones during cholecystectomy. 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).

Lars Enochsson - Umeå universitet

Conclusions: EUS is a feasible technique for allowing rendezvous drainage of obstructed biliary or pancreatic ducts through native papillae or anastomoses after initially unsuccessful ERCP. AB - Background: Only a few cases have been reported of EUS-guided drainage of … AIM: To examine whether rendezvous endoscopic retrograde cholangiopancreatography (ERCP) is associated with less pancreatic damage, measured as leakage of proenzymes, than conventional ERCP. METHODS: Patients (n = 122) with symptomatic gallstone disease, intact papilla and no ongoing inflammation, were prospectively enrolled in this case-control designed study. Laparoendoscopic rendezvous (LERV) endoscopic retrograde cholangiopancreatography (ERCP) and laparoscopic cholecystec-tomy (LC+ERCP/LERV) are considered an optimal approach for concomitant gallstones and common bile duct stones. e rendezvous technique is essential for the success of procedure. We applied two di Endoscopic ultrasound (EUS)-guided main pancreatic duct (MPD) access is an available option (step approach) after failed endoscopic retrograde cholangiopancreatography (ERCP) from various reasons such as difficult MPD cannulation from tight stenosis, large stone, pancreas diversum or post-surgical stricture. 1,2.

ERC-PTC rendezvous techniques are used as a salvage technique after failed ERC or anticipating a complex intervention that might not be resolved by ERC alone. 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. 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%.
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2017-12-06 Mo1361 Rendezvous ERCP Technique Results in Fewer Cases of Post-ERCP-Pancreatitis Compared With Conventional Cannulation Technique. A Prospective Nationwide Population-Based Cohort Study in … 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.

The sequential ap- tween the rendezvous technique and ERCP regarding the proach for the treatment of gallbladder and CBD stones incidence of iatrogenic hyperamilasemia and hyperli- has been considered the gold standard for a long pasemia that are well-recognized side effects of standard time.10–12 The “best practice” has never been clearly de- ERCP related to pancreatic damage. 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 Laparoscopic assisted ERCP (Rendezvous technique)fordifficult cannulation of the papilla (e.g peripapillary diverticulum; Vater papilla opening in the third A rendezvous procedure, in which a guidewire was placed through the distal CBD and into a biloma by ERCP, and simultaneously snared via a PTC approach allowed for a biliary-duodenal catheter to be placed successfully and achieve continuity of the patient’s biliary tree and the patient was discharged the next day. 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.
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Endoskopiskt ultraljud - GASTROKURIREN

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 … 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 rendezvous technique. Gastrointest Endosc.

gastrokuriren - Svensk Gastroenterologisk Förening

However,  Laparoscopic-Assisted ERCP Rendezvous Procedure for Choledocholithiasis in Patient With Esophageal Stricture. 2925. Patel, Anish H. MD 1; Ortizo, Ronald  23 Jun 2017 A second SBE-ERCP was performed 3 months later to complete the procedure, but the papilla could not be reached due to fixed angulations that  Laparoendoscopic rendezvous (LERV) endoscopic retrograde cholangiopancreatography (ERCP) and laparoscopic cholecystectomy (LC+ ERCP/LERV) are  22 Aug 2018 Abstract. EUS-guided rendezvous technique (EUS-RV) is an effective salvage technique for failed biliary cannulation during ERCP. However, it is  This procedure allows the performance of endoscopic rendez-vous This persistent stenosis despite the SEMS prevented us from attempting to perform ERCP. 24 May 2017 The rendezvous technique can also be performed).

ERC-PTC rendezvous techniques are used as a salvage technique after failed ERC or anticipating a complex intervention that might not be resolved by ERC alone.