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ERCP, endoscopic retrograde cholangiopancreatography;. PTBD, ERCP) stent insertion has failed biliare Drainage im “Rendezvous-Verfahren”. Dtsch Med

7,9 Among the various factors, a dilated PD seems to be essential for a successful EUS rendezvous procedure. 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). Aufgrund der sehr peripheren Lage erschien eine transpapilläre Stentversorgung nicht sinnvoll.

cholé = Galle) und die Gänge der Bauchspeicheldrüse (griech. pán = alles, kréas = Fleisch) entgegen der normalen Flussrichtung (retrograd) bis zu ihrem Ursprung zurückverfolgen und beurteilen kann. 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.

A 60-year-old man who had previously undergone cholecystectomy was seen for a 4-week history of abdominal pain and fever. Investigations revealed leukocytosis (12,000 cell/mm3) and deranged liver function test results (bilirubin 3 mg/dL, serum alkaline phosphatase 360 IU/L).

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). Although a significant reduction

Recently, EUS-RV has been re-ported as an effective salvage technique after failed ERCP. 1Aichi Cancer Center Hospital, Department of Gastroenterology, Japan and 2Aichi Cancer Center Hospital, Department of Endoscopy, Japan 2013-09-28 · CONCLUSION: Rendezvous ERCP reduces pancreatic enzyme leakage compared with conventional ERCP cannulation technique. Thus, laparo-endoscopic technique can be recommended with the ambition to minimise the risk for post ERCP pancreatitis.

Die!Kombinaon!der!ERCP!mitder!PTCD!im!Rendezvous!Verfahren!zur! Behandlung!cholangiogener!Abszesse!ermöglichteine!Therapie!des! Verhaltes!und!der!verursachenden!Stenose!in!einer!Drainage:!Damitkann! ein!langfrisFger!Behandlungserfolg!bei!dem!überwiegenden!Anteil!der!

Place, publisher, year, edition, pages Springer, 2019. Keywords [en] Endoscopic retrograde cholangiopancreatography is a minimally invasive procedure used for the evaluation and management of biliary injuries. At times, ERCP fails and percutaneous modalities may be required. Rendezvous procedures are combined endoscopic and percutaneous techniques that have been used to restore anatomic continuity and biliary Se hela listan på sages.org 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. Bei einem Tumorbefall des Pankreaskopfes oder anderen anatomischen Veränderungen kann unter Umständen eine ERCP mit Sondierung des Gallenganges technisch nicht möglich sein. Hier kann ein sogenanntes Rendezvousverfahren hilfreich sein – perkutan transhepatisch (PTCD) erfolgt eine Punktion und Drahtsondierung der Gallenwege bis ins Duodenum – der 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.

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 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. 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. When ERCP fails to achieve selective cannulation, endoscopic ultrasound (EUS)-guided rendezvous procedure may be useful to access the PD for endotherapy.
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Vol. 19, no 36, p. 6026-6034 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). Die Kombination eines retrograden (Endoskopisch-retrograde Cholangiografie, ERC) und eines antegraden (mittels Perkutan-transhepatische Cholangiografie, PTC oder Endosonographischer Ultraschall, EUS) Zuganges zum biliären System in einer Sitzung wird als Rendezvous Verfahren bezeichnet. Swahn, Fredrik et al.

Mai 2012 3.7 Komplikationen während und nach DBE-basierter ERCP mit Interventionen . 20 4.3 DBE-basierte ERCP als Rendezvous-Verfahren .
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Aufgabe Ihres Ärzteteams ist es, das optimale Verfahren für Sie zu identifizieren. Choledocholithiasis; Mechanische Lithotrypsie; PTCD – ERCP Rendezvous

Shawn Mallery, MD, Associate Professor of Medicine, University of Minnesota, Minneapolis, MN, USA. Martin L. Freeman, MD, Professor of Medicine, University of Minnesota, Minneapolis, MN, USA. ERCP is a technically challenging procedure yet has become nearly universally available. 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 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.

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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 drainage.