Kombinierte endoskopische/minimalinvasive operative Verfahren (Rendezvous Technik)

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.

A guidewire can be left in the stomach to guide insertion with the duodenoscope if required. • The duodenoscope coils in the fundus: Ensure the patient is fully in the left lateral decubitus position. What is ERCP. ERCP is an abbreviation for a medical procedure called Endoscopic Retrograde Cholangiopancreatography that combines upper gastrointestinal (GI) endoscopy and x-rays to to study the bile ducts, pancreatic duct and gallbladder and to treat problems of the bile and pancreatic ducts. 2018-08-22 · EUS-guided rendezvous technique (EUS-RV) is an effective salvage technique for failed biliary cannulation during ERCP.

ERCP in patients with altered anatomy 000 9. Successful cannulation rate 000 10. ERCP in children 000 pharyngeal pouch or stricture. A guidewire can be left in the stomach to guide insertion with the duodenoscope if required.

1. Introduction. The acute angulation of Roux-en-Y (R-Y) limb preclude endoscopic access for endoscopic retrograde cholangiopancreatography (ERCP) [1, 2] using even the balloon enteroscopy [3–10].Here, we describe a case of successful single balloon enteroscopy (SBE)-assisted lithotripsy using a rendezvous technique in a patient with sharply angulated R-Y limb.

2013-11-01 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. Parallel cannulation technique at ERCP rendezvous.

EUS-Rendezvous nebo přímé intervence versus pokročilé techniky ERCP pro spojeny stejné komplikace jako použití pokročilých technik ERCP v případech

1 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). 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). 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. Method. At Double-balloon enteroscopy–ERCP rendezvous technique Endoscopic retrograde cholangiopancrea-tography (ERCP) in patients with surgical-ly altered upper gastrointestinal anatomy such as Roux-en-Y anastomosis is chal-lenging [1]. The use of double-balloon endoscopy (DBE) for ERCP in patients with surgically altered anatomy has been ercp with rendez-vous technique (billroyh ii gastrectomy) - caso clÍnico do hospital alemÃo oswaldo cruz apresentado na sbad 2012.

dures included ERCP, and 39 patients (42 procedures) un-derwent EUS-RV after failed ERCP. 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). The reasons for EUS-RV were surgi- 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.
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The indications for ERCP were malig-nant biliary obstruction in 24 patients and benign biliary dis-ease in 15 (Table 1). The reasons for EUS-RV were surgi- Double-balloon enteroscopy–ERCP rendezvous technique Endoscopic retrograde cholangiopancrea-tography (ERCP) in patients with surgical-ly altered upper gastrointestinal anatomy such as Roux-en-Y anastomosis is chal-lenging [1]. The use of double-balloon endoscopy (DBE) for ERCP in patients with surgically altered anatomy has been The acute angulation of Roux-en-Y (R-Y) limb precludes endoscopic access for endoscopic retrograde cholangiopancreatography (ERCP) even using a balloon enteroscopy.
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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

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.

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2018-06-13

Coloskopie mittels Doppelballon-Technik; Indikationsgebiete: Beispielsweise die Perkutan gesteuertes Rendez-vous (PTCD- ERCP ); Endosonographisch zur verbesserten Strukturdarstellung; Strukturverstärkung mittels NBI-Technik Gallenwege im Rendez vous Verfahren (Kombination aus ERCP und PTCD) UKT TECHNIK DER LEBERTRANSPLANTATION . Monate (841 Tage) nach LT auf, wurde mittels ERCP diagnostiziert Comparative study of rendezvous. Tumorverdacht) durch eine ERCP nachweisbar war oder bei denen eine Bei 31 Patienten erfolgte die Drainage transpapillär in Rendezvous–Technik (4 Sie ist mit modernster Technik ausgerüstet, die Untersuchungen erfolgen mit Therapien der akuten und chronischen Pankreatitis; Rendezvous-Techniken ERCP · Bronchoskopie · Spezielle Leistungen der Sonographie und der& 14.