elective cholecystectomy, ESGE suggests intraoperative ERCP with laparoendoscopic rendezvous (moderate quality evidence, weak recommendation). ESGE suggests that when biliary cannulation is unsuccessful with a standard retrograde approach, anterograde guidewire insertion either by a percutaneous or endoscopic ultrasound (EUS)-guided

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

B. Pogorzelski 1, The rendezvous method includes placement of a guidewire across the ampulla/anastomosis itself, which can then be grasped or utilized by a duodenoscope to perform conventional ERCP. For patients with SAA, generally the rendezvous method is of limited utility given the decreased ability to endoscopically access the ampulla. 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 … 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 Transgastric rendezvous technique for ERCP clearance of CBD stones has not been described in the literature elsewhere.

24 May 2017 Abstract. Endoscopic retrograde cholangiopancreatography (ERCP) is a diagnostic method and treatment approach for biliary diseases. However Hier gelten praktisch die gleichen Maßnahmen wie zu ERCP und EPT (s. Kapitel 2.2). Technik.

Method. At first, a The acute angulation of Roux-en-Y (R-Y) limb precludes endoscopic access for endoscopic retrograde cholangiopancreatography (ERCP) even using a balloon enteroscopy.

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.

The median age of the patients was 71 (range 29-84) years, and 26 procedures were performed in men. The indications for ERCP were malig-nant biliary obstruction in 24 patients and benign biliary dis-ease in 15 (Table 1).

Wir bieten die Darstellung der Gallengänge mittels einer endoskopischen retrograden Cholangiopankreatikographie (ERCP) und eine perkutane transhepatische

Endoscopic ultrasound (EUS)-assisted biliary access is utilized when conventional endoscopic retrograde cholangiopancreatography (ERCP) fails. We report a 10-year experience utilizing a transduodenal EUS rendezvous via a transpapillary route without dilation of the transduodenal tract, followed by immediate ERCP … 2014-10-01 The ERCP procedures were considered rendezvous intraoperative or rendezvous postoperative, depending on whether the ERCP procedure was carried out during or after completing the cholecystectomy. Results. There were 1205 and 565 ERCP procedures in the rendezvous intraoperative and the rendezvous postoperative groups, respectively.

(De Palma Für die ERCP, die man kaum vom therapeutischen EUS losgelöst betrachten kann, Welches ist die beste Technik, wenn die ERCP nicht sofort zum Erfolg führt? ein Rendezvous-Verfahren, eine Choledochoduodenostomie oder auch eine Medizinisch-technischer Dienst · Verwaltung und Technik · Ausbildung & Studium PTD im Rendezvous-Verfahren mit ERCP und bei endosonographischen der HOPE-Technik; Perfusionsmaschine mit oben einliegender Spenderleber Durch das sogenannte Rendezvous-Verfahren, also während der Operation skopie-Kenntinisse und vor allem ERCP- Gallenwegspunktion (Rendezvous- ERCP) Abb. 2: Zugangslokalisation und -ausdehnung in der DAA-Technik. la via biliare, si rendeva necessaria (in epoca pre-ERCP) l'esecuzione di Per l' LTCE, un catetere con cestello (Endo-Technik, Solingen,. Germany, fig. 6) è stato rendezvous (17 pazienti) o una coledocotomia laparoscopica.
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The rendezvous technique is essential for the success of procedure.

Materials and Methods: In 14 patients with percutaneous access to the CBD, we performed SHORT using a Loop Tip Wire Guide (LTWG) (Cook Medical, Winston-Salem, NC, USA), which has a closed loop at the tip. Rendezvous techniques, either percutaneous or EUS-guied, were required for endoscopic access in the other 9 patients.
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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.

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 … with conventional ERCP with an incidence ranging from 3-10% for PEP [5].