If it is successful, the procedure is completed with standard ERCP. If the rendezvous cannot be completed, the patient is referred for percutaneous or surgical

The so-called Rendez-vous technique refers to a combined surgical, either laparoscopic or open, endoscopic approach to common bile duct stone treatment. The term Rendezvous (a French word meaning

2 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. 2018-08-22 · EUS-guided rendezvous technique (EUS-RV) has also been reported as an effective salvage technique for failed biliary cannulation during ERCP.[1–6] In EUS-RV, the biliary duct is punctured from the intestine under EUS guidance using a needle for fine needle aspiration (FNA), followed by guidewire placement into the duodenum through the needle, biliary duct and ampulla. The primary outcome was PEP.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). 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.

Methods: Thirty-six patients with obstructive jaundice underwent the rendezvous technique of PTBD and ERCP after initially unsuccessful ERCP. A rendezvous procedure refers to the combination of endoscopic, percutaneous and/or surgical approaches to achieve a goal through 2 points of the body that cannot be achieved via one. This method is often used for patients with hepatobiliary dysfunction, when ERCP or PTBD alone are not sufficient for achieving desired outcomes. 1 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. The rendezvous procedure was performed, because their anastomotic strictures were too angulated or twisted to place inside stents by ERCP. The rendezvous technique was performed using a guidewire before 2010.

In conclusion, we demonstrate that percutaneous transcystic cholangioscopy-assisted rendezvous ERCP across a mature cholecystostomy tract can allow for full-spectrum ERCP in cases in which options for internal biliary drainage are otherwise limited (Video 1, available online at www.giejournal.org).

We describe a modified Rendezvous technique for an ERCP in patients operated on for CBDSs having a T-tube with retained CBDSs. The rendezvous procedure was performed, because their anastomotic strictures were too angulated or twisted to place inside stents by ERCP. The rendezvous technique was performed using a guidewire before 2010.

In this video, Yukitoshi Matsunami, MD, et al, demonstrate an EUS-guided rendezvous technique in a patient who presented with bile leakage and cholangitis du

Gastrokuriren träffade Urban Arnelo, en av landets ledande inom ERCP.

Surg. endoscopic retrograde cholangiopancreatography. Arnelo U, Lohr M, Persson G, Enochsson L (2013) Rendezvous cannulation technique av F Lundborg · 2015 — koledokussten, varav 150 patienter genomgick ERCP (Endoskopisk Retrograd Kolangio- Rendezvous technique versus endoscopic retrograde Patienter som genomgår enstegs rendezvous ERCP i samband med cannulation technique in ERCP: effects on technical success and post-ERCP.
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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). Although a significant reduction there are overall relatively few cases with PEP and the calculated numbers needed to treat to avoid one case of PEP is as high as 71. angiopancreatography (ERCP) failure, we describe a modified Rendezvous technique for an ERCP in patients operated on for common bile duct stone (CBDS) having a T-tube with retained CBDSs. In conclusion, we demonstrate that percutaneous transcystic cholangioscopy-assisted rendezvous ERCP across a mature cholecystostomy tract can allow for full-spectrum ERCP in cases in which options for internal biliary drainage are otherwise limited (Video 1, available online at www.giejournal.org).

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 2001-10-01 · Background: The rendezvous technique combines endoscopy with percutaneous transhepatic cholangiography to facilitate cannulation of the bile duct when previous attempts have failed.
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ERCP kan också göras före, under eller efter kolecystektomi [11]. Rendezvous technique versus endoscopic retrograde cholangiopancreatography to treat

The primary outcome was PEP.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).